Individual
MR. CHARLES GOODWIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
180 CENTER ST, CLEMENTS CENTER, WESTERVILLE, OH 43081-1405
(614) 823-1634
(614) 823-3522
Mailing address
5850 MALL VIEW CT, COLUMBUS, OH 43231-2927
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000719
OH
Other
Enumeration date
03/10/2006
Last updated
07/08/2007
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