Individual
STEPHANIE N GOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-4668
(434) 924-3627
(434) 243-9433
Mailing address
PO BOX 749112, ATLANTA, GA 30374-9112
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
0110004359
VA
363AS0400X
Surgical Physician Assistant
Primary
0110004359
VA
Other
Enumeration date
08/28/2013
Last updated
10/16/2024
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