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Individual
ELLIOTT GOODWIN
Active
Individual
ELLIOTT GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R4408
KY
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
6269
TN
Other
Enumeration date
03/22/2017
Last updated
06/10/2025
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