Individual
JAMES N GOODSON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
105 PROFESSIONAL PARK RD, COLUMBIA, SC 29229-7847
(803) 227-8828
(803) 227-8829
Mailing address
PO BOX 935722, ATLANTA, GA 31193-5722
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1461
SC
363LF0000X
Family Nurse Practitioner
RX1461
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP1855
—
SC
Enumeration date
01/05/2007
Last updated
08/25/2021
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