Individual
MISS MEREDITH LAUREN GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8925 N MERIDIAN ST STE 200, INDIANAPOLIS, IN 46260-2385
(317) 660-4900
Mailing address
7835 PARAGON RD, DAYTON, OH 45459-4021
(937) 436-4146
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
50.005297RX
OH
363AM0700X
Medical Physician Assistant
Primary
10001070A
IN
Other
Enumeration date
03/05/2009
Last updated
08/22/2022
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