# FAMILY HEALTHCARE PRACTICE PLLC

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

## Provider details

- **NPI number:** 1134311723
- **Authorized official:** DR. THOMAS E GOODIN III MD (MD)
- **Authorized official phone:** (828) 466-3000

## Contact information

- **Practice address:** 130 1ST ST W, CONOVER, NC 28613-2106
- **Practice address phone:** (828) 466-3000
- **Mailing address:** 130 1ST ST W, CONOVER, NC 28613-2106
- **Mailing address phone:** (828) 466-3000
- **Mailing address fax:** (828) 464-3281

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 15357 | NC | Yes |

## Other

- **Enumeration date:** 08/16/2007
- **Last updated:** 03/22/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 36195 | BCBS | NC |
| 05 | — | 5915750 | — | NC |
| 05 | — | 8936195 | — | NC |