Individual
PROF. WANDA GOODWYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1201 MURCHISON RD, FAYETTEVILLE, NC 28301-4251
(910) 672-2894
Mailing address
4409 IYAR WAY, WAKE FOREST, NC 27587-4167
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
133091
NC
Other
Enumeration date
04/15/2026
Last updated
04/15/2026
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