Individual
CHRISTOPHER W GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1801 SUNSET DR, COLUMBIA, SC 29203-6803
(803) 540-1000
(803) 540-1075
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 293-7320
(803) 293-7330
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36212
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
362128
—
SC
Enumeration date
04/21/2010
Last updated
06/02/2021
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