Individual
RONALD D GOODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AU.D
Contact information
Practice address
105 CARTER PARK DR, SUITE B, SENECA, SC 29678-1152
(864) 482-3122
(864) 482-3152
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
3995
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002730800
—
FL
05
—
701022879A
—
GA
05
—
701022879B
—
GA
01
—
DQ422Z
MEDICARE PTAN
FL
05
—
SAG021
—
SC
Enumeration date
09/25/2006
Last updated
06/30/2021
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