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NPI Code Detail

MEDICARE: DENISE GOODWIN DNP, NP-C

MEDICARE: DENISE GOODWIN DNP, NP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerRN163811GA

General Provider Information

NPI Number : 1407377831
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENISE GOODWIN DNP, NP-C
Provider Business Mailing Address
First Line : 1638 BATTLEFIELD PKWY
Second Line :
City : FORT OGLETHORPE
State : GA
Zip : 30742-4016
Country : US
Telephone Number : 706-841-0500
Fax Number : 706-841-0502
Provider Business Practice Location Address
First Line : 1638 BATTLEFIELD PKWY
Second Line :
City : FORT OGLETHORPE
State : GA
Zip : 30742-4016
Country : US
Telephone Number : 706-841-0500
Fax Number : 706-841-0502
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2017
Last Update Date : 07/31/2025

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