Provider Demographics
NPI:1922296193
Name:GOODWIN, DONNA BOWIE (DC)
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:BOWIE
Last Name:GOODWIN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13980 SUNFISH BND
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30004-0605
Mailing Address - Country:US
Mailing Address - Phone:770-346-9036
Mailing Address - Fax:770-346-9036
Practice Address - Street 1:8610 ROSWELL RD
Practice Address - Street 2:
Practice Address - City:SANDY SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30350-7534
Practice Address - Country:US
Practice Address - Phone:678-822-0221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-12
Last Update Date:2007-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR008274111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor