Nichelle Gooden
Driver in Stone Mountain, GA. Individual provider (NPI-1).
NPI number1730699208
StatusActive
Last updated in NPPESOct 10, 2017
Details
- NPI
- 1730699208
- Entity type
- Individual (NPI-1)
- Name
- Nichelle Gooden
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 10, 2017
- Last updated
- Oct 10, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172A00000X | Driver | 058242336 | GA | Yes |
Practice location
1408 Colony East CirStone Mountain, GA 30083-5407
Phone 404-996-9335 · Fax 404-996-9335
Mailing address
Po Box 381Pine Lake, GA 30072-0381
Phone 404-996-9335
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Driver providers in Stone Mountain, GA
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.