Individual
MR. MYRON ARTHUR GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 MOCKSVILLE AVE, STE 1, SALISBURY, NC 28144
(704) 633-4686
(704) 633-4404
Mailing address
601 MOCKSVILLE AVE, STE 1, SALISBURY, NC 28144
(704) 633-4686
(704) 633-4404
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
14667
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0441034
UHC
—
01
—
36223
BCBS
—
05
—
8936223
—
NC
Enumeration date
10/26/2005
Last updated
11/18/2009
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