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Individual

DR. JOEL S GOODWIN II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3100 TOWER BLVD, STE 406, DURHAM, NC 27707-0034
(919) 287-3303
Mailing address
PO BOX 15352, BELFAST, ME 04915-4048

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
9900231
NC
208600000X
Surgery Physician
Primary
9900231
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
89014CA
NC
Enumeration date
10/23/2006
Last updated
08/05/2016
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