Individual
DR. BRUCE MICHAEL GOODSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1251 16TH ST NE, HICKORY, NC 28601-4261
(828) 322-7700
(828) 256-6720
Mailing address
PO BOX 11223, HICKORY, NC 28603-6402
(828) 322-7700
(828) 256-6720
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38068
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8936226
—
NC
Enumeration date
03/29/2006
Last updated
08/16/2011
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