Individual
TERI RENE GOODHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3700 S MAIN ST, BLACKSBURG, VA 24060-7017
(540) 951-1111
Mailing address
735 HOLLY DR, CHRISTIANSBURG, VA 24073-4451
(540) 239-6186
(540) 443-9362
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110005707
VA
Other
Enumeration date
03/20/2017
Last updated
01/04/2024
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