Individual
MR. RICHARD GOODMAN II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
386 RUTT LN, GOOSE CREEK, SC 29445-7808
(843) 882-7085
Mailing address
386 RUTT LN, GOOSE CREEK, SC 29445-7808
(843) 882-7085
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
7152
SC
Other
Enumeration date
09/29/2015
Last updated
09/29/2015
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