Individual
MR. GREGORY WAYNE GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1269 US HIGHWAY 221A, FOREST CITY, NC 28043-5921
(828) 657-5371
(828) 657-9190
Mailing address
1269 US HIGHWAY 221A, FOREST CITY, NC 28043-5921
(828) 657-5371
(828) 657-9190
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
102644
NC
Other
Enumeration date
10/12/2006
Last updated
02/24/2011
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