Mary Catherine Goodwin (NPI# 1083873715, PAC ID# 6204007818) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1083873715 |
| PAC ID by PECOS | 6204007818 |
| Professional Enrollment ID | I20110912000286 |
| Full Name | Mary Catherine Goodwin |
| Organization Legal Name | THE BREAST CENTER PC |
| Address |
702 Canton Ne Rd Marietta GA 30060-7271 |
| Phone Number | 7704284486 |
| Gender | F |
| Medical School | MERCER UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | GENERAL SURGERY |
| Secondary Specialties | SURGICAL ONCOLOGY |
| Group Practice PAC ID | 9931180098 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110035 | WELLSTAR KENNESTONE HOSPITAL |
| 110143 | WELLSTAR COBB HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 702 Canton Ne Rd, Marietta, GA 30060-7271 | 7704284486 | THE BREAST CENTER PC |
| Organization Legal Name | THE BREAST CENTER PC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela A Robbins | General Surgery | The Breast Center PC | 702 Canton Ne Rd, Marietta, GA 30060-7271 |
| Ronald E Mattison | General Surgery | The Breast Center PC | 702 Canton Ne Rd, Marietta, GA 30060-7271 |
| Paulomi S Shroff | General Surgery | The Breast Center PC | 702 Canton Ne Rd, Marietta, GA 30060-7271 |
| Phillip Z Israel | General Practice | The Breast Center PC | 702 Canton Ne Rd, Marietta, GA 30060-7271 |
| Street Address |
702 CANTON NE RD |
| City | MARIETTA |
| State | GA |
| Zip | 30060-7271 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela A Robbins | General Surgery | The Breast Center PC | 702 Canton Ne Rd, Marietta, GA 30060-7271 |
| Ronald E Mattison | General Surgery | The Breast Center PC | 702 Canton Ne Rd, Marietta, GA 30060-7271 |
| Paulomi S Shroff | General Surgery | The Breast Center PC | 702 Canton Ne Rd, Marietta, GA 30060-7271 |
| Phillip Z Israel | General Practice | The Breast Center PC | 702 Canton Ne Rd, Marietta, GA 30060-7271 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jerwanda Lavette Johnson | Nurse Practitioner | Wellstar Medical Group, LLC | 2130 Anderson Mill Rd, Marietta, GA 30060 |
| Connie Dessonville Hill | Psychologist, Clinical | 125 Church Nest, Suite 210, Marietta, GA 30060 | |
| William L. Cousins | Internal Medicine | Wellstar Medical Group, LLC | 166 Vann Nest, Marietta, GA 30060 |
| Ansley Carnes | Physician Assistant | Wellstar Medical Group, LLC | 166 Vann Nest, Marietta, GA 30060 |
| Kimberly Malejko | Physician Assistant | Wellstar Medical Group, LLC | 166 Vann Nest, Marietta, GA 30060 |
| Allyson J Underwood | Nurse Practitioner | Wellstar Medical Group, LLC | 166 Vann Nest, Marietta, GA 30060 |
| Tonette Robinson | Psychologist, Clinical | Wellstar Medical Group, LLC | 55 Whitcher St, Suite 420, Marietta, GA 30060-0000 |
| Amanda Denise Parkinson | Clinical Social Worker | Wellstar Medical Group, LLC | 55 Whitcher St, Suite 420, Marietta, GA 30060-0000 |
| Callie B Dunn | Psychologist, Clinical | Wellstar Medical Group, LLC | 55 Whitcher St, Suite 420, Marietta, GA 30060-0000 |
| Candace S Hunter | Clinical Psychologist | Wellstar Medical Group, LLC | 55 Whitcher St, Suite 420, Marietta, GA 30060-0000 |
| Find all physicians in zip 30060 | |||
| City | MARIETTA |
| Zip Code | 30060 |
| Specialty | GENERAL SURGERY |
| City + Specialty | MARIETTA + GENERAL SURGERY |
Please comment or provide details below to improve the information on Mary Catherine Goodwin.
| 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.