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1730865403
MICHAEL GOODALL
AUGUSTA, GA
NPI
1730865403
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: GA 15203)
Enumeration Date
2023-06-26
Last Update Date
2023-06-26
Business Address
MICHAEL GOODALL
1120 15TH ST
AUGUSTA, GA 30912-0004
Phone number: 706-721-2923
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Mailing Address
MICHAEL GOODALL
2508 SPRINGWOOD DR
AUGUSTA, GA 30904-3321
Phone number: 678-200-2431
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