Individual
MS. CATHERINE WALTER GOODYEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
4740 COMMERCIAL PARK CT, CLEMMONS, NC 27012-9387
(336) 245-9521
(855) 308-2340
Mailing address
PO BOX 360, SYLVA, NC 28779-0360
(888) 339-6065
(828) 538-4441
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-07310
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720013543
—
NC
01
—
2064J
BCBS NC
NC
01
—
NA3809A
MEDICARE
NC
01
—
Q00972340
RAILROAD MEDICARE
NC
Enumeration date
07/11/2006
Last updated
04/14/2025
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