Individual
ANN GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
237 LONGTOWN RD, COLUMBIA, SC 29229-8550
(803) 404-5368
Mailing address
237 LONGTOWN RD, COLUMBIA, SC 29229-8550
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
29429
SC
Other
Enumeration date
10/04/2024
Last updated
10/04/2024
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