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1598028060
SUSANNAH BURNS GOODMAN
MACON, GA
NPI
1598028060
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN157565)
Enumeration Date
2012-06-20
Last Update Date
2018-05-18
Business Address
SUSANNAH BURNS GOODMAN NP
6070 LAKESIDE COMMONS DR
MACON, GA 31210-5778
Phone number: 478-254-2644
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Mailing Address
SUSANNAH BURNS GOODMAN NP
314 COCHRAN RD
CONCORD, GA 30206-2903
Phone number: 404-664-7264
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