Organization
FAMILY HEALTHCARE PRACTICE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS E GOODIN III MD (MD)
(828) 466-3000
Entity
Organization
Contact information
Practice address
130 1ST ST W, CONOVER, NC 28613-2106
(828) 466-3000
Mailing address
130 1ST ST W, CONOVER, NC 28613-2106
(828) 466-3000
(828) 464-3281
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15357
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36195
BCBS
NC
05
—
5915750
—
NC
05
—
8936195
—
NC
Enumeration date
08/16/2007
Last updated
03/22/2012
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