Susan Goodson in Lagrange - General Practice

Susan Goodson - NPI 1750444162

Susan Goodson is a General Practice in Lagrange, Georgia. Susan Goodson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Susan Goodson is 1750444162. The last update date is 2007-07-08.

Susan Goodson's current location address is 122 Gordon Commercial Dr # A, Lagrange, Georgia. You can contact this provider via phone number 7068454035. The mailing address for Susan Goodson is 122 Gordon Commercial Dr # A, Lagrange, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan Goodson
Address 122 Gordon Commercial Dr # A, Lagrange, Georgia
Phone Number 7068454035
Fax Number
Sole Proprietor Y
Credentials DMD

NPI Number Detail

NPI Number 1750444162
Provider Enumeration Date 2006-12-18
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 122 Gordon Commercial Dr # A
City Lagrange
State Georgia (GA)
Post Code 302405740
Phone Number 7068454035
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No DN009185
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Susan Goodson

What is the Susan Goodson's unique identification number?

The Susan Goodson has been assigned the NPI (National Provider Identifier) Number 1750444162 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Susan Goodson's facilities are geographically located?

The facilities of Susan Goodson are physically situated at the following location: 122 Gordon Commercial Dr # A, Lagrange, GA, 302405740.

What is Susan Goodson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Susan Goodson is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services assign the 1750444162 to Susan Goodson?

The Centers for Medicare & Medicaid Services assigned the 1750444162 to Susan Goodson on 2006-12-18.

When was the information related to Susan Goodson most recently updated or refreshed?

The details pertaining to the Susan Goodson, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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