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Individual
GAY M GOODEN
Active
Individual
GAY M GOODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
9701246
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1208X
BCBS
NC
05
—
891208X
—
NC
01
—
930076279
RAILROAD
NC
05
—
Q01247
—
SC
Enumeration date
04/11/2006
Last updated
06/17/2011
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