Individual
CALLIE GOODRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MMS, PA-C
Contact information
Practice address
1126 N CHURCH ST STE 300, GREENSBORO, NC 27401-1037
(336) 938-0800
Mailing address
1126 N CHURCH ST STE 300, GREENSBORO, NC 27401-1037
(336) 414-1266
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/10/2019
Last updated
08/17/2021
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