Individual
DR. AMINA NYOKA GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5966 W CURTISIAN AVE, BOISE, ID 83704-8801
(208) 302-5450
(208) 302-5495
Mailing address
2024 15TH ST FL 2, MERIDIAN, MS 39301-4130
(601) 553-2000
(601) 581-1724
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
22579
MS
207RI0200X
Infectious Disease Physician
Primary
M-17657
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148637
—
AL
Enumeration date
12/31/2008
Last updated
04/11/2024
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