Individual
MICHAEL A GOLDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
405 E 3RD ST STE C, FARMVILLE, VA 23901-1552
(434) 295-9153
(434) 295-9154
Mailing address
PO BOX 7751, CHARLOTTESVILLE, VA 22906-7751
(434) 295-9153
(434) 295-9154
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0103000810
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009320288
—
VA
01
—
063036
BCBS OF VIRGINIA
VA
01
—
P 11018063
MULTIPLAN
VA
Enumeration date
07/04/2006
Last updated
06/26/2024
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