Individual
DR. GEORGE RAYMOND GOODWIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5452 LOGGERHEAD PL, WOODBRIDGE, VA 22193-5872
(757) 935-5962
Mailing address
5452 LOGGERHEAD PL, WOODBRIDGE, VA 22193-5872
(757) 593-5962
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101276566
VA
Other
Enumeration date
12/30/2005
Last updated
10/20/2023
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