| Lee-goodrum Health | |
|
770 Greison Trl Ste F Newnan GA 30263-6401 | |
| (770) 400-5660 | |
| Not Available |
| Full Name | Lee-goodrum Health |
|---|---|
| Speciality | Nurse Practitioner - Family |
| Location | 770 Greison Trl Ste F, Newnan, Georgia |
| Authorized Official Name and Position | Casey Tarpley (PRESIDENT) |
| Authorized Official Contact | 7702531121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lee-goodrum Health 770 Greison Trl Ste F Newnan GA 30263-6401 Ph: (770) 400-5660 | Lee-goodrum Health 770 Greison Trl Ste F Newnan GA 30263-6401 Ph: (770) 400-5660 |
| NPI Number | 1386385193 |
|---|---|
| Provider Enumeration Date | 04/05/2022 |
| Last Update Date | 11/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386385193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
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