Organization
REHABILITATION MEDICINE & PAIN CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ALLEN GOODSON MD (PRESIDENT)
(704) 664-5766
Entity
Organization
Contact information
Practice address
114 WELTON WAY, SUITE A, MOORESVILLE, NC 28117-9163
(704) 664-5766
(704) 664-9311
Mailing address
114 WELTON WAY, SUITE A, MOORESVILLE, NC 28117-9163
(704) 664-5766
(704) 664-9311
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
97-01373
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
790243U
—
NC
Enumeration date
01/05/2006
Last updated
09/18/2007
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