Organization
FLETCHER H GOODE MD PC
Active
Organization
FLETCHER H GOODE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FLETCHER H GOODE MD PC (PRESIDENT)
(901) 872-2206
Entity
Organization
Contact information
Practice address
4759 EASLEY ST, MILLINGTON, TN 38053-1931
(901) 872-2206
(901) 872-2995
Mailing address
PO BOX 548, MILLINGTON, TN 38083-0548
(901) 872-2206
(901) 872-2995
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
2911
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3122277
—
TN
Enumeration date
07/25/2006
Last updated
02/14/2008
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