Debois Gooden
Private Vehicle in Mcdonough, GA. Individual provider (NPI-1).
NPI number1508550856
StatusActive
Last updated in NPPESJun 9, 2023
Details
- NPI
- 1508550856
- Entity type
- Individual (NPI-1)
- Name
- Debois Gooden
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 7, 2023
- Certification date
- Jun 9, 2023
- Last updated
- Jun 9, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 347C00000X | Private Vehicle | – | – | Yes |
Practice location
600 Westridge PkwyMcdonough, GA 30253-7787
Phone 470-754-5353
Mailing address
600 Westridge PkwyMcdonough, GA 30253-7787
Phone 470-754-5353
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