Organization
DAVID J GOODE MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID JOHN GOODE MD (PRESIDENT)
(336) 761-0326
Entity
Organization
Contact information
Practice address
964 AVON RD, WINSTON SALEM, NC 27104-1014
(336) 761-0326
(336) 760-0524
Mailing address
964 AVON RD, WINSTON SALEM, NC 27104-1014
(336) 761-0326
(336) 760-0524
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
15075
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36186
BLUE CROSS/BLUE SHIELD
NC
05
—
86 36186
—
NC
Enumeration date
07/27/2006
Last updated
08/22/2020
Update your record
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