Individual
ASHTAN MICHAELA GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
151A RUTLEDGE AVE, CHARLESTON, SC 29425-8903
(803) 305-2090
Mailing address
151A RUTLEDGE AVE, CHARLESTON, SC 29425-8903
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
SC
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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