Individual
DR. AUTUMN JOI GOODWIN-SAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
853 JEFFERSON AVE, SUITE 201, MEMPHIS, TN 38103-2807
(901) 448-4750
Mailing address
9034 HOLLYBROOK LANE S, GERMANTOWN, TN 38138
(713) 419-9393
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
390200000X
TN
Other
Enumeration date
05/03/2007
Last updated
01/13/2014
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