Individual
GARY WAYNE GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
211 GEORGES DR APT 101B, CHARLESTON, WV 25306-7504
(304) 356-7690
Mailing address
211 GEORGES DR APT 101B, CHARLESTON, WV 25306-7504
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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