Individual
CAROL ANN GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1909 W FRANKLIN ST, EVANSVILLE, IN 47712-5110
(812) 456-9736
(812) 456-0140
Mailing address
1909 W FRANKLIN ST, EVANSVILLE, IN 47712-5110
(812) 456-9736
(812) 456-0140
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01045303
IN
Other
Enumeration date
12/05/2005
Last updated
12/27/2012
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