Individual
AUDREY GOODJOIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
200 N NELSON DR, FOUNTAIN INN, SC 29644-9021
(864) 522-6270
(864) 522-6275
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8614
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
23185
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP7519
—
SC
Enumeration date
07/12/2020
Last updated
07/01/2024
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