Individual
DR. TIMOTHY B GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6801 AIRPORT BLVD, MOBILE, AL 36608-3709
(800) 476-8646
(919) 382-3210
Mailing address
PO BOX 851897, MOBILE, AL 36685-1897
(800) 476-8646
(919) 382-3210
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
16345
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51088197
BCBS
—
Enumeration date
11/14/2005
Last updated
02/23/2010
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