Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | DN011460 | GA |
NPI | 1073570180 |
---|---|
Provider Name | James B Good Child |
First Address | Lawrenceville, GA 30046-0897 |
Second Address | Norcross, GA 30093-2667 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2006 |
Last Update Date | 08/07/2007 |