Dr. Goodwin,l.L.C
Family Medicine in Columbia, MD. Organization (NPI-2).
NPI number1154513620
StatusActive
Last updated in NPPESAug 17, 2007
Details
- NPI
- 1154513620
- Entity type
- Organization (NPI-2)
- Legal business name
- Dr. Goodwin,l.L.C
- Organization subpart
- No
- Enumeration date
- Aug 17, 2007
- Last updated
- Aug 17, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | d0023081 | MD | Yes |
Practice location
9650 Santiago Rd108
Columbia, MD 21045-3957
Phone 410-997-5333 · Fax 410-992-9831
Mailing address
9650 Santiago Rd108
Columbia, MD 21045-3957
Phone 410-997-5333 · Fax 410-992-9831
Authorized official
Paige J Goodwin
Treasurer
4109975333
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