Most Relevant Information
Provider Data
| NPI Number: | 1003539834 |
| Provider Name: | MARIE LYNNE GODIERS |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/26/2022 |
| Last Updated: | 09/26/2022 |
Provider Practice Location
1462 CLIFTON RD NE STE 280
ATLANTA
GA
303221063
Practice Location Phone/Fax
| Phone: | 4047277825 |
| Fax: |
Provider Mailing Location
1462 CLIFTON RD NE STE 280
ATLANTA
GA
303221063
Provider Mailing Phone/Fax
| Phone: | 4047277825 |
| Fax: |