Individual
MICHAEL D GOODLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
349 SOUTH DONAHUE DRIVE, SUITE 200, AUBURN, AL 36849
(334) 844-9821
(334) 844-0932
Mailing address
349 SOUTH DONAHUE DRIVE, SUITE 200, AUBURN, AL 36849
(334) 844-9821
(334) 844-0932
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
10954
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51521101
BLUE CROSS
AL
Enumeration date
03/09/2006
Last updated
05/18/2009
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