| NPI | 1275179020 |
|---|---|
| Doing Business As | GEORGETOWN PEDIATRICS, PSC |
| Entity Type | Organization |
| Authorized Contact | JOHANNE GOODYKOONTZ Office Manager 502-863-6426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2023-04-12 |