Individual
JOSEPH GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMBT
Contact information
Practice address
200 ELIZABETH AVE, FOREST CITY, NC 28043-3209
(828) 429-3875
Mailing address
200 ELIZABETH AVE, FOREST CITY, NC 28043-3209
(828) 429-3875
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
12883
NC
Other
Enumeration date
11/18/2016
Last updated
11/18/2016
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