Individual
BOBBY EUGENE GOODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SRNA
Contact information
Practice address
400 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604-6035
(423) 431-6111
Mailing address
162 MARCUS WAY APT 3, ABINGDON, VA 24210-4177
(276) 696-2657
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
0001265704
VA
Other
Enumeration date
03/10/2022
Last updated
03/10/2022
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