# RONALD D GOODEN

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

## Provider details

- **NPI number:** 1609977727
- **Gender:** Man
- **Credential:** AU.D

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | 3995 | SC | Yes |

## Other

- **Enumeration date:** 09/25/2006
- **Last updated:** 06/30/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 002730800 | — | FL |
| 05 | — | 701022879A | — | GA |
| 05 | — | 701022879B | — | GA |
| 01 | — | DQ422Z | MEDICARE PTAN | FL |
| 05 | — | SAG021 | — | SC |