Individual
SHANNON BETH GOODWIN CHAMBERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 BROOKSIDE DR, MADILL, OK 73446-3643
(580) 795-5506
(580) 795-5145
Mailing address
5012 S US HIGHWAY 75 STE 300, ATTN BILLING, DENISON, TX 75020-4589
(580) 795-5506
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20525
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100097280A
—
OK
Enumeration date
06/21/2006
Last updated
01/26/2018
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