Individual
CHARLOTTE WHITEHURST GOODWYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3485 N. MAIN STREET, FARMVILLE, NC 27858
(252) 753-3193
Mailing address
706 FERNCLIFF LN, TARBORO, NC 27886-5629
(252) 883-7416
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5005885
NC
Other
Enumeration date
10/30/2012
Last updated
11/01/2012
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