# ANIKA S. GOODWIN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1285672345
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | — | NULL | — |
| 207W00000X | Ophthalmology Physician | 057437 | GA | — |
| 207W00000X | Ophthalmology Physician | 10915237-1205 | UT | — |
| 207W00000X | Ophthalmology Physician | 11747C | WY | — |
| 207W00000X | Ophthalmology Physician | 2014-00564 | NC | Yes |
| 207W00000X | Ophthalmology Physician | 31097 | NE | — |
| 207W00000X | Ophthalmology Physician | 37377 | AL | — |
| 207W00000X | Ophthalmology Physician | 56691 | AZ | — |
| 207W00000X | Ophthalmology Physician | CDR.0000195 | CO | — |
| 207W00000X | Ophthalmology Physician | MD45562 | IA | — |
| 207W00000X | Ophthalmology Physician | ME136686 | FL | — |
| 207W00000X | Ophthalmology Physician | TL32880 | SC | — |
| 208200000X | Plastic Surgery Physician | 057437 | GA | — |
| 208200000X | Plastic Surgery Physician | 2014-00564 | NC | — |
| 208200000X | Plastic Surgery Physician | TL32880 | SC | — |

## Other

- **Enumeration date:** 06/02/2006
- **Last updated:** 09/08/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 328808 | — | SC |
| 05 | — | 938942945A | — | GA |
| 05 | — | 938942945B | — | GA |
| 05 | — | 938942945C | — | GA |
| 01 | — | AA53092326 | MEDICARE PTAN | SC |