Individual
MICHAEL MOSES GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2007-00124
NC
207R00000X
Internal Medicine Physician
30740
SC
207RH0003X
Hematology & Oncology Physician
Primary
2007-00124
NC
Other
Enumeration date
01/19/2007
Last updated
06/22/2011
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