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Organization

GOODEN MOBILE POD NC PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TAMIKA GOODEN (OWNER)
(502) 244-2441
Entity
Organization

Contact information

Practice address
311 MCFADYEN DR, FAYETTEVILLE, NC 28314
(502) 244-2441
(502) 254-4069
Mailing address
12910 SHELBYVILLE RD STE 300, LOUISVILLE, KY 40243-2404
(502) 244-2441
(502) 254-4069

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary

Other

Enumeration date
05/17/2018
Last updated
05/17/2018
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