Individual
OLIVIA MARIE GOODNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
82 WHITES CROSSING PLZ, WHITEVILLE, NC 28472-4442
(910) 721-5030
Mailing address
1002 GARDEN CLUB WAY, LELAND, NC 28451-9599
(124) 896-1929
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-14126
NC
363AM0700X
Medical Physician Assistant
Primary
0010-14126
NC
Other
Enumeration date
02/27/2024
Last updated
07/01/2024
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