Individual
MR. JAY DREW GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, SCS
Contact information
Practice address
1603 HILLSBOROUGH ST, 1603 HILLSBOROUGH STREET, RALEIGH, NC 27605-1638
(919) 350-3800
(919) 838-5379
Mailing address
1603 HILLSBOROUGH ST, WAKEMED AT ALEXANDER YMCA, RALEIGH, NC 27605-1638
(919) 350-3800
(919) 838-5379
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
P5645
NC
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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