SHANA GOODNO

MOULTRIE, GA
NPI1568779809
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: GA  RN164651)
Enumeration Date2010-09-08
Last Update Date2011-10-12
Business Address
-- SHANA GOODNO FNP-BC
207 31 ST AVE SE
MOULTRIE, GA 31768
Phone number: 229-217-0088
Mailing Address
-- SHANA GOODNO FNP-BC
207 31ST AVE SE
MOULTRIE, GA 31768-6703
Phone number: 229-217-0088
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