Individual
DR. MICHAEL WILLIAM GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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