Individual
DAVID JOHN GOODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
964 AVON RD, WINSTON SALEM, NC 27104-1014
(336) 761-0326
(336) 722-0154
Mailing address
964 AVON RD, WINSTON SALEM, NC 27104-1014
(336) 761-0326
(336) 722-0154
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
15075
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36186
BLUE CROSS BLUE SHIELD
NC
05
—
86 36186
—
NC
Enumeration date
03/06/2007
Last updated
07/08/2007
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