Individual
BERNADETTE JOANN GOUDREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2750 LAUREL ST STE 200, COLUMBIA, SC 29204-2047
(803) 365-8625
(843) 985-9816
Mailing address
1215 LEE ST, BOX 800719, CHARLOTTESVILLE, VA 22908-0816
(434) 924-2150
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
933339
SC
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
VA
Other
Enumeration date
04/06/2015
Last updated
03/29/2026
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