Most Relevant Information
Provider Data
| NPI Number: | 1003079203 |
| Provider Name: | ROBERT H GOODMAN NMT |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: | MT002271 |
Most Important Dates
| Enumeration Date: | 07/08/2008 |
| Last Updated: | 07/08/2008 |
Provider Practice Location
124 LAFAYETTE DR NE APT 4
ATLANTA
GA
303093344
Practice Location Phone/Fax
| Phone: | 4049320323 |
| Fax: | 6789045612 |
Provider Mailing Location
124 LAFAYETTE DR NE APT 4
ATLANTA
GA
303093344
Provider Mailing Phone/Fax
| Phone: | 4049320323 |
| Fax: | 6789045612 |