Individual
DR. ELIZABETH E. GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD722
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3594984
—
TN
05
—
3943261
—
TN
05
—
3943264
—
TN
Enumeration date
05/31/2005
Last updated
03/25/2014
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