NPI Profile for WILLIAM T GOODWIN in JOHNS CREEK, GA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Student in an Organized Health Care Education/Training Program |
390200000X |
| 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 |
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|
| Hospital affiliation(s) | Not Available |
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WILLIAM T GOODWIN
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