Individual
DR. SCOTT MICHAEL GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2ND BATTALION 2ND MARINES, CAMP LEJEUNE, NC 28542
(910) 541-4042
Mailing address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-0669
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0102206325
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/17/2019
Last updated
01/11/2022
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