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NPI Verification

National Provider Identifier: 1255690905

Sophia D Goodridge, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Urology

Code: 208800000X

All Specialties (2)

Urology

Code: 208800000X

Urology

Code: 208800000X

Primary

Practice Address

2500 HOSPITAL BLVD STE 290

ROSWELL, GA 300764918

Phone: 470-956-4230

NPI Enumeration Date

May 15, 2012

NPI Number

1255690905

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry