Individual
DANA GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
619 19TH ST S, BIRMINGHAM, AL 35249-1900
(205) 996-4965
Mailing address
416 BALLANTRAE RD, PELHAM, AL 35124-6249
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1-126223
AL
363LA2200X
Adult Health Nurse Practitioner
Primary
1-126223
AL
Other
Enumeration date
04/15/2014
Last updated
06/29/2023
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