Individual
PANDORA GOODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP C
Contact information
Practice address
3231 YANCEYVILLE ST, ALPHA MEDICAL CLINIC, GREENSBORO, NC 27405-4043
(336) 358-1578
(336) 358-1582
Mailing address
3231 YANCEYVILLE ST, ALPHA MEDICAL CLINIC, GREENSBORO, NC 27405-4043
(336) 358-1578
(336) 358-1582
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
F913091C
—
NC
Enumeration date
08/04/2006
Last updated
07/08/2007
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