Gooden Mobile Pod Nc PLLC
Podiatrist in Fayetteville, NC. Organization (NPI-2).
NPI number1073003752
StatusActive
Last updated in NPPESMay 17, 2018
Details
- NPI
- 1073003752
- Entity type
- Organization (NPI-2)
- Legal business name
- Gooden Mobile Pod Nc PLLC
- Organization subpart
- No
- Enumeration date
- May 17, 2018
- Last updated
- May 17, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | – | – | Yes |
Practice location
311 McFadyen DrFayetteville, NC 28314
Phone 502-244-2441 · Fax 502-254-4069
Mailing address
12910 Shelbyville Rd Ste 300Louisville, KY 40243-2404
Phone 502-244-2441 · Fax 502-254-4069
Authorized official
Tamika Gooden
Owner
5022442441
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All 10 Podiatrist providers in Fayetteville · All 9,765 providers in Fayetteville
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