Individual
ALAN GODDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
120 HEALTH CENTER DR, AHOSKIE, NC 27910-8161
(252) 332-3548
(252) 332-1665
Mailing address
PO BOX 669, AHOSKIE, NC 27910-0669
(252) 209-0237
(252) 209-0197
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000104207
NC
Other
Enumeration date
07/21/2006
Last updated
02/10/2014
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