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Organization

DR. GOODWIN,L.L.C

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. PAIGE J GOODWIN (TREASURER)
(410) 997-5333
Entity
Organization

Contact information

Practice address
9650 SANTIAGO RD, 108, COLUMBIA, MD 21045-3957
(410) 997-5333
(410) 992-9831
Mailing address
9650 SANTIAGO RD, 108, COLUMBIA, MD 21045-3957
(410) 997-5333
(410) 992-9831

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0023081
MD

Other

Enumeration date
08/17/2007
Last updated
08/17/2007
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