Individual
DIAMOND GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6280 SALEM RD, MYRTLE BEACH, SC 29588-5208
(843) 602-6881
Mailing address
6280 SALEM RD, MYRTLE BEACH, SC 29588-5208
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
270383
SC
Other
Enumeration date
01/06/2026
Last updated
01/06/2026
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