| Doctor Name: | ELIZABETH GOODWIN |
| NPI Number: | 1043696172 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN, FNP-C |
| License Number: | RN215448 |
| Business Practice Address: | 97 Martin Luther King Jr Dr Forsyth, GA - 310291648 |
| Business Phone Number: | 4789941010 |
| Business Fax Number: | 4789941080 |
| Mailing Address: | 97 Martin Luther King Jr Dr, FORSYTH |
| State: | GA |
| Postal Code: | 310291648 |
| Phone Number: | 4789941010 |
| Fax Number: | 4789941080 |
| NPI Enumeration Date: | 07/30/2015 |
| NPI Last Update Date: | 07/30/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN215448 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |