Individual
CONSTANCE M GOODYEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
805 HALL ST, WIGGINS, MS 39577-2110
(601) 928-4412
(601) 928-4792
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 928-4412
(601) 928-4792
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14719
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00116736
—
MS
01
—
640507572BB
AMERICAN ADMIN GROUP
MS
01
—
P00120058
RAILROAD MEDICARE
—
Enumeration date
08/09/2006
Last updated
03/26/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us