Individual
SAMUEL L GOODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, LMBT
Contact information
Practice address
120 E MAIN ST # 200, CLAYTON, NC 27520-2448
(919) 698-4648
Mailing address
502 BALLAST PT, CLAYTON, NC 27520-6217
(919) 698-4648
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
20022
NC
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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