Individual
DR. STACEE SHEETS GOODRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
445 PINEVIEW DR STE 110, KERNERSVILLE, NC 27284-3818
(336) 993-4352
(336) 993-3590
Mailing address
111 HANESTOWN CT STE 151, WINSTON SALEM, NC 27103-1749
(336) 765-9350
(336) 760-4255
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
200000950
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
132JR
BCBS
NC
05
—
89132JR
—
NC
Enumeration date
10/28/2005
Last updated
03/17/2018
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