Individual
DR. PATRICK GLENN GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
39 KENT RD STE 8, TIFTON, GA 31794-1697
(229) 391-2910
(229) 386-4770
Mailing address
PO BOX 7083, TIFTON, GA 31793-7083
(229) 391-2910
(229) 238-0953
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
59158
GA
Other
Enumeration date
04/10/2007
Last updated
04/07/2021
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