Individual
MS. JORDAN PAIGE GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRT, RRT
Contact information
Practice address
5579 S ORANGE AVE, EDGEWOOD, FL 32809-3493
(407) 241-4800
Mailing address
514 MOUNT PLEASANT RD, WHITEVILLE, TN 38075-6243
(731) 234-2225
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
179609
TN
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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