Individual
JALEN ISAIAH GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
1301 E ARLINGTON BLVD, GREENVILLE, NC 27858-5868
(252) 565-8812
(252) 565-8814
Mailing address
1301 E ARLINGTON BLVD, GREENVILLE, NC 27858-5868
(252) 565-8812
(252) 565-8814
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
NC
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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