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Individual

MRS. ANASTASIA ALICE GOODWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1240 HOSPITAL DR, MOUNT PLEASANT, SC 29464-3251
(843) 849-8418
Mailing address
2052 PROMENADE CT, MOUNT PLEASANT, SC 29466-7231
(575) 447-0288

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
6418
SC
390200000X
Student in an Organized Health Care Education/Training Program
Primary
SC

Other

Enumeration date
04/08/2026
Last updated
05/15/2026
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