Individual
DR. SUSAN CATES GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3495 HACKS CROSS RD, MEMPHIS, TN 38125
(901) 526-7444
(901) 271-2606
Mailing address
3495 HACKS CROSS RD, MEMPHIS, TN 38125-8803
(901) 526-7444
(901) 271-2606
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
053916
GA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
10208
MS
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
14091
TN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
27689
SC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
E3528
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106515709
GROUP MEDICAID
AR
05
—
149681001
—
AR
01
—
18019
GROUP MEDICARE
AR
01
—
406690238
RAILROAD MEDICARE
AR
01
—
56822
MEDICARE PROFESSIONAL
AR
Enumeration date
03/14/2006
Last updated
10/22/2018
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