Individual
JOSEPH GOAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3200 MACCORKLE AVE SE, CHARLESTON, WV 25304-1227
(304) 647-6006
Mailing address
501 MORRIS ST, CHARLESTON, WV 25301-1326
(304) 647-6006
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
89572
WV
367500000X
Certified Registered Nurse Anesthetist
Primary
116717
WV
Other
Enumeration date
04/10/2022
Last updated
06/28/2023
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