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Contact Information

GOODSIDE HEALTH MEDICAL, PLLC
777 CLEVELAND AVE SW STE 308
ATLANTA, GA30315-7118
 Phone: 281-203-5006
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Clinic/Center

261Q00000X
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for GOODSIDE HEALTH MEDICAL PLLC · (Female)

NPI # 1437888377
Status Active
Credentials
Entity Individual
Enumeration date 06/07/2022
Last updated 09/12/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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