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Organization
GOODEN MOBILE POD NC PLLC
Active
Organization
GOODEN MOBILE POD NC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMIKA GOODEN (OWNER)
(502) 244-2441
Entity
Organization
Contact information
Practice address
311 MCFADYEN DR, FAYETTEVILLE, NC 28314
(502) 244-2441
(502) 254-4069
Mailing address
12910 SHELBYVILLE RD STE 300, LOUISVILLE, KY 40243-2404
(502) 244-2441
(502) 254-4069
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
05/17/2018
Last updated
05/17/2018
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