Organization
NEIL E GOODMAN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEIL EVAN GOODMAN M.D. (PRESIDENT / OWNER)
(912) 554-0544
Entity
Organization
Contact information
Practice address
2500 STARLING ST, SUITE # 401, BRUNSWICK, GA 31520-4219
(912) 554-0544
(912) 554-0344
Mailing address
2500 STARLING ST, SUITE # 401, BRUNSWICK, GA 31520-4219
(912) 554-0544
(912) 554-0344
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
034143
GA
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
034143
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00714876G
—
GA
01
—
034143
STATE MED LIC NUMBER
GA
Enumeration date
07/29/2006
Last updated
09/11/2025
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