MR. LEDONTRAE GOODEN, PA-C
Physician Assistant - Medical
Active
Individual
NPI: 1528607272
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | Yes | - |
| Driver | 172A00000X | No | - |
Frequently Asked Questions
NPI 1528607272 is the National Provider Identifier for MR. LEDONTRAE GOODEN, PA-C, a Physician Assistant - Medical provider located in Fort Moore, GA. This NPI was enumerated on December 28, 2019.
MR. LEDONTRAE GOODEN, PA-C practices at 6600 VAN AALST BLVD, Fort Moore, GA 31905.
Quick Facts
- NPI
- 1528607272
- Type
- Individual
- Enumerated
- Dec 28, 2019
- Last Updated
- Jan 22, 2024
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