Individual
MATTHEW W GOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4519 HIXSON PIKE, HIXSON, TN 37343-5035
(423) 877-4591
(423) 877-4225
Mailing address
4519 HIXSON PIKE, HIXSON, TN 37343-5035
(423) 877-4591
(423) 877-4225
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD36229
TN
208000000X
Pediatrics Physician
MD36229
TN
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
MD36229
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009910793
—
AL
05
—
009996705
—
AL
05
—
281843471E
—
GA
05
—
3875716
—
TN
01
—
4104245
BCBS OF TENNESSEE
TN
Enumeration date
07/14/2006
Last updated
11/18/2010
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