Individual
SHEA M GOODRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
205 MARION PIKE, COAL GROVE, OH 45638-3165
(740) 532-1183
(740) 532-1188
Mailing address
2585 3RD AVE, HUNTINGTON, WV 25703-1642
(304) 697-1396
(304) 697-2086
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
123093
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/19/2011
Last updated
04/10/2017
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