MEDICARE: MED INJURY LLC

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
1	207X00000X	Orthopaedic Surgery Physician

General Provider Information

NPI Number	:	1558203505
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MED INJURY LLC

Provider Business Mailing Address
First Line	:	2089 TERON TRCE STE 160
Second Line	:
City	:	DACULA
State	:	GA
Zip	:	30019-1613
Country	:	US
Telephone Number	:	678-225-5553
Fax Number	:	678-225-5554

Provider Business Practice Location Address
First Line	:	2089 TERON TRCE STE 160
Second Line	:
City	:	DACULA
State	:	GA
Zip	:	30019-1613
Country	:	US
Telephone Number	:	678-225-5553
Fax Number	:	678-225-5554

Authorized Official
Title or Position	:	OWNER
Name	:	DR. CAZ GOODMAN
Credential	:	DC
Telephone Number	:	561-901-0871

Provider Enumeration Date	:	04/08/2026
Last Update Date	:	04/08/2026

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Directions to “MED INJURY LLC ” Practice Location

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