MR. Ledontrae Gooden, PA-C is a medical physician assistant in Fort Moore, GA with 2 years of experience. MR. Ledontrae Gooden, PA-C NPI is 1528607272. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
6600 VAN AALST BLVD
FORT MOORE, GA
ZIP 31905-102
Phone: (916) 385-1006
The NPI 1528607272 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 12/28/2019 and was last updated on 1/22/2024.