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Contact Information

WILLIAM T GOODWIN
2750 OLD ALABAMA RD STE 200
JOHNS CREEK, GA30022
 Phone: 678-893-5300
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for WILLIAM T GOODWIN · (Male)

NPI Number 1346807310
Status Active
Credentials
Entity Individual
Enumeration date 05/24/2019
Last updated 06/22/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # APC007814
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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