Individual
JACOB EDWIN GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
7360 SKIDAWAY RD, SAVANNAH, GA 31406
(912) 658-1440
Mailing address
7360 SKIDAWAY RD, SAVANNAH, GA 31406
(912) 658-1440
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
12538
SC
183500000X
Pharmacist
Primary
25367
GA
Other
Enumeration date
09/06/2012
Last updated
09/06/2012
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