Individual
STEPHEN MARSHALL GOODEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5109 HOLLY LN, MOREHEAD CITY, NC 28557-2691
(706) 825-5166
Mailing address
5109 HOLLY LN, MOREHEAD CITY, NC 28557-2691
(706) 825-5166
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
033972
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120176
—
SC
Enumeration date
09/07/2005
Last updated
03/09/2022
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