Organization
GOODMAN & BROOKS FAMILY PRACTICE ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI LINGLE AUSTIN (PRACTICE MANAGER)
(828) 304-0840
Entity
Organization
Contact information
Practice address
2820 16TH ST NE, HICKORY, NC 28601-9600
(828) 304-0840
(828) 304-0943
Mailing address
2820 16TH ST NE, HICKORY, NC 28601-9600
(828) 304-0840
(828) 304-0943
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89012JE
—
NC
Enumeration date
10/13/2006
Last updated
05/13/2011
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