Individual
DR. ROBERT GOODWIN PERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 W ROPER RD, EASLEY, SC 29640-8805
(864) 897-8280
(864) 897-8281
Mailing address
PO BOX 919, PICKENS, SC 29671-0919
(864) 897-8280
(864) 897-8281
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26550
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265509
—
SC
05
—
GP4560
—
SC
Enumeration date
07/28/2006
Last updated
08/17/2010
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