# GOODMAN & BROOKS FAMILY PRACTICE ASSOCIATES, PA

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

## Provider details

- **NPI number:** 1235229220
- **Authorized official:** MRS. LORI LINGLE AUSTIN (PRACTICE MANAGER)
- **Authorized official phone:** (828) 304-0840

## Contact information

- **Practice address:** 2820 16TH ST NE, HICKORY, NC 28601-9600
- **Practice address phone:** (828) 304-0840
- **Practice address fax:** (828) 304-0943
- **Mailing address:** 2820 16TH ST NE, HICKORY, NC 28601-9600
- **Mailing address phone:** (828) 304-0840
- **Mailing address fax:** (828) 304-0943

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/13/2006
- **Last updated:** 05/13/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 89012JE | — | NC |