Individual
MR. BENJAMIN TYLER BRANDON GOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
111 TOWN HOLLOW RD, CEDAR BLUFF, VA 24609-9622
(276) 963-3554
Mailing address
1202 4TH ST, RICHLANDS, VA 24641-2411
(276) 345-5056
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001266334
VA
Other
Enumeration date
03/17/2022
Last updated
03/17/2022
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