Individual
MRS. CHARLEEN C GOODCHILD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
3830 ROSEMONT DR, COLUMBUS, GA 31904-5659
(706) 221-6770
(706) 221-6776
Mailing address
3830 ROSEMONT DR, COLUMBUS, GA 31904-5659
(706) 221-6770
(706) 221-6776
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
007347
NY
363A00000X
Physician Assistant
Primary
8208
GA
363AM0700X
Medical Physician Assistant
007347
NY
363AS0400X
Surgical Physician Assistant
007347
NY
Other
Enumeration date
04/07/2010
Last updated
08/17/2023
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