Individual
DR. THOMAS ELLIOTT GOODIN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
130 1ST ST W, CONOVER, NC 28613-2106
(828) 466-3000
Mailing address
130 1ST STREET W, CONOVER, NC 28613-1620
(828) 466-3000
(828) 464-3281
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
15357
NC
207R00000X
Internal Medicine Physician
Primary
15357
NC
282N00000X
General Acute Care Hospital
15357
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36195
BCBS
NC
05
—
8936195
—
NC
Enumeration date
04/11/2007
Last updated
04/03/2012
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