Individual
MRS. LINDA GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
28977
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8985116
—
NC
Enumeration date
03/24/2006
Last updated
01/20/2011
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