Individual
TERESA VIRGINIA GOODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428
(765) 747-3367
Mailing address
14579 GOLDEN OAK RD, CENTREVILLE, VA 20121-2261
(202) 809-2694
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/02/2013
Last updated
05/02/2013
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