# CAROL ANN GOODMAN MD LLC

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

## Provider details

- **NPI number:** 1366747347
- **Authorized official:** CAROL ANN GOODMAN MD (MD)
- **Authorized official phone:** (812) 456-9736

## Contact information

- **Practice address:** 1909 W FRANKLIN ST, EVANSVILLE, IN 47712-5110
- **Practice address phone:** (812) 456-9736
- **Practice address fax:** (812) 456-0140
- **Mailing address:** 1909 W FRANKLIN ST, EVANSVILLE, IN 47712-5110
- **Mailing address phone:** (812) 456-9736
- **Mailing address fax:** (812) 456-0140

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 01/21/2011
- **Last updated:** 03/23/2023