Individual
MR. HARRISON GOODALL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3737 MARKET ST, PHILADELPHIA, PA 19104-5545
(215) 662-8777
Mailing address
353 CROSSROAD LAKES DR, PONTE VEDRA BEACH, FL 32082-4024
(904) 273-1342
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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