Individual
AMBER GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
970 LAKELAND DR STE 61, JACKSON, MS 39216-4634
(601) 982-7850
(601) 366-8507
Mailing address
970 LAKELAND DR STE 61, JACKSON, MS 39216-4634
(601) 982-7850
(601) 366-8507
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00345
MS
Other
Enumeration date
01/02/2015
Last updated
10/07/2024
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