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Individual

NATHAN TRAVIS GOODWYN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
715 E 4TH ST UNIT 36, RICHMOND, VA 23224-5559
(804) 231-0800
(804) 231-0700
Mailing address
715 E 4TH ST UNIT 36, RICHMOND, VA 23224-5559
(804) 231-0800
(804) 231-0700

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
VA

Other

Enumeration date
08/24/2018
Last updated
08/24/2018
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