Individual
DR. THOMAS M GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 TWINING ST BLDG 760, MONTGOMERY, AL 36112-6027
(334) 953-5143
(334) 953-8607
Mailing address
300 TWINING ST BLDG 760, MONTGOMERY, AL 36112-6027
(334) 953-5143
(334) 953-8607
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AL14383
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51517723
BLUE CROSS AND BLUE SHIEL
AL
Enumeration date
07/12/2005
Last updated
09/26/2014
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