Individual
DOUGLAS GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1100 E 3RD ST, CHATTANOOGA, TN 37403-2241
(423) 778-2957
Mailing address
1100 E 3RD ST, CHATTANOOGA, TN 37403-2241
(423) 778-2957
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
RN224028
GA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000211956C
—
GA
Enumeration date
12/14/2018
Last updated
03/27/2025
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