Organization
GOODWIN & ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DARLA SUE SANDERS (OFFICE MANAGER)
(731) 668-9791
Entity
Organization
Contact information
Practice address
31 PHYSICIANS DR, JACKSON, TN 38305-2071
(731) 668-9791
(731) 668-9678
Mailing address
31 PHYSICIANS DR, JACKSON, TN 38305-2071
(731) 668-9791
(731) 668-9678
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD18798
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3710209
—
TN
Enumeration date
08/08/2007
Last updated
08/08/2007
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