Provider Demographics
NPI:1306860788
Name:HARTNETT-GOODMAN, MARGARET M (MD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:M
Last Name:HARTNETT-GOODMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2500 STARLING ST
Mailing Address - Street 2:SUITE 606
Mailing Address - City:BRUNSWICK
Mailing Address - State:GA
Mailing Address - Zip Code:31520-4219
Mailing Address - Country:US
Mailing Address - Phone:912-466-5636
Mailing Address - Fax:912-466-5639
Practice Address - Street 1:2500 STARLING ST
Practice Address - Street 2:SUITE 606
Practice Address - City:BRUNSWICK
Practice Address - State:GA
Practice Address - Zip Code:31520-4219
Practice Address - Country:US
Practice Address - Phone:912-466-5636
Practice Address - Fax:912-466-5639
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA034606207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000531902GMedicaid
GA582098745OtherTAX ID
GAF75705Medicare UPIN
GA16BDGHZMedicare ID - Type Unspecified