MEDICARE: JENNIFER ANN GOEDKEN M.D.

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	207VG0400X	Gynecology Physician	049234	GA

General Provider Information

NPI Number	:	1356456271
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER ANN GOEDKEN M.D.

Provider Business Mailing Address
First Line	:	69 JESSE HILL JR DR SE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30303-3033
Country	:	US
Telephone Number	:	404-616-3361
Fax Number	:

Provider Business Practice Location Address
First Line	:	69 JESSE HILL JR DR SE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30303-3033
Country	:	US
Telephone Number	:	404-616-3361
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/20/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1366486011 — DR. SIDNEY FREDRICK STEIN M.D.
Practice Location Address:

EMORY UNIVERSITY SCHOOL OF MEDICINE , 49 JESSE HILL JR. DRIVE S.E.
ATLANTA, GA
30303-3033

Practice Phone: 404-778-1352
Practice Fax: 404-778-1355

1356378616 — STUART G BROOKER MD
Practice Location Address:

69 JESSE HILL JR DR SE , DEPT OF ANESTHESIOLOGY
ATLANTA, GA
30303-3033

Practice Phone: 404-778-4852
Practice Fax:

1326073651 — DR. SHERYL HERON MD
Practice Location Address:

69 JESSE HILL JR DR SE
ATLANTA, GA
30303-3033

Practice Phone: 404-616-6673
Practice Fax: 404-616-0191

1407953193 — DR. JOYCE PATRICIA DOYLE M.D.
Practice Location Address:

69 JESSE HILL JR DR SE
ATLANTA, GA
30303-3033

Practice Phone: 404-616-8875
Practice Fax:

1629175252 — SHIA HYAM ELSON M.D.
Practice Location Address:

69 JESSE HILL JR DR SE
ATLANTA, GA
30303-3033

Practice Phone: 404-616-4424
Practice Fax:

1477650273 — MRS. VICTORIA LA SHELLE GREEN MD
Practice Location Address:

69 JESSE HILL JR DR SE , 4TH FLOOR DEPT GYN/OB
ATLANTA, GA
30303-3033

Practice Phone: 404-616-3540
Practice Fax:

Directions to “ JENNIFER ANN GOEDKEN M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.