# GOODWIN MEDICAL CLINIC LLC

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

## Provider details

- **NPI number:** 1841662020
- **Authorized official:** DR. JEREMY DALTON GOODWIN M.D. (OWNER/ SOLE MEMBER OF LLC)
- **Authorized official phone:** (256) 547-0433

## Contact information

- **Practice address:** 431 S 3RD ST, GADSDEN, AL 35901-5210
- **Practice address phone:** (256) 547-0433
- **Practice address fax:** (256) 547-0460
- **Mailing address:** 431 S 3RD ST, GADSDEN, AL 35901-5210
- **Mailing address phone:** (256) 547-0433
- **Mailing address fax:** (256) 547-0460

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 24747 | AL | Yes |

## Other

- **Enumeration date:** 10/27/2015
- **Last updated:** 02/24/2016