Brent T Goedjen (NPI# 1912292657, PAC ID# 4385885227) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1912292657 |
| PAC ID by PECOS | 4385885227 |
| Professional Enrollment ID | I20150803002436 |
| Full Name | Brent T Goedjen |
| Address |
135 Norcross St Suite 8 Roswell GA 30075-3867 |
| Gender | M |
| Medical School | UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | DERMATOLOGY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 135 Norcross St, Suite 8, Roswell, GA 30075-3867 |
| Street Address |
135 NORCROSS ST SUITE 8 |
| City | ROSWELL |
| State | GA |
| Zip | 30075-3867 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher S Lee | Chiropractic | 12060 Etris Rd, Suite 200, Roswell, GA 30075-1402 | |
| Janna Iyer | Optometry | 12030 Etris Rd, Suite B 100, Roswell, GA 30075-1410 | |
| Michelle M. Johnson | Nurse Practitioner | Minute Clinic LLC | 1380 Woodstock Rd, Roswell, GA 30075-2141 |
| Leah Magdaraog | Nurse Practitioner | Minute Clinic LLC | 1380 Woodstock Rd, Roswell, GA 30075-2141 |
| Kathryn Koehler Oliver | Nurse Practitioner | Minute Clinic LLC | 1380 Woodstock Rd, Roswell, GA 30075-2141 |
| Megan M Wildermuth | Nurse Practitioner | Minute Clinic LLC | 1380 Woodstock Rd, Roswell, GA 30075-2141 |
| Marion C Coleman | Nurse Practitioner | Minute Clinic LLC | 1380 Woodstock Rd, Roswell, GA 30075-2141 |
| Sharon L King | Family Medicine | Afc Physicians of Georgia PC | 1095 Woodstock Rd, Roswell, GA 30075-2205 |
| Sophia A Kennedy | Nurse Practitioner | Afc Physicians of Georgia PC | 1095 Woodstock Rd, Roswell, GA 30075-2205 |
| Angela K Crowell | Gastroenterology | Afc Physicians of Georgia PC | 1095 Woodstock Rd, Roswell, GA 30075-2205 |
| Find all physicians in zip 30075 | |||
| City | ROSWELL |
| Zip Code | 30075 |
| Specialty | DERMATOLOGY |
| City + Specialty | ROSWELL + DERMATOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.