# NEIL E GOODMAN MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104831064
- **Authorized official:** NEIL EVAN GOODMAN M.D. (PRESIDENT / OWNER)
- **Authorized official phone:** (912) 554-0544

## Contact information

- **Practice address:** 2500 STARLING ST, SUITE \# 401, BRUNSWICK, GA 31520-4219
- **Practice address phone:** (912) 554-0544
- **Practice address fax:** (912) 554-0344
- **Mailing address:** 2500 STARLING ST, SUITE \# 401, BRUNSWICK, GA 31520-4219
- **Mailing address phone:** (912) 554-0544
- **Mailing address fax:** (912) 554-0344

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | 034143 | GA | — |
| 2080A0000X | Pediatric Adolescent Medicine Physician | 034143 | GA | Yes |

## Other

- **Enumeration date:** 07/29/2006
- **Last updated:** 09/11/2025