Individual
MRS. MARY CHERKA GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
281 E MAIN ST, FOREST CITY, NC 28043-3126
(828) 245-6400
(828) 245-3838
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5005059
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01310972
RAILROAD MEDICARE
SC
Enumeration date
01/21/2011
Last updated
01/12/2021
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