Individual
DR. MICHAEL WILLIAM GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
979 E 3RD ST, SUITE C0630, CHATTANOOGA, TN 37403-2136
(423) 267-5677
(423) 267-6179
Mailing address
979 E 3RD ST, SUITE C0630, CHATTANOOGA, TN 37403-2136
(423) 267-5677
(423) 267-6179
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
015401
TN
207RG0100X
Gastroenterology Physician
026122
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100005904
RAILROAD MEDICARE
TN
01
—
192613
BLUE CROSS BLUE SHIELD OF
TN
05
—
3006410
—
TN
01
—
621553135003
CIGNA
TN
01
—
GT23445
UNITED HEALTH CARE
—
Enumeration date
08/11/2005
Last updated
09/03/2024
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