Individual
ALEX BRYANT COLE GOODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
501 MORRIS ST, CHARLESTON, WV 25301-1326
(304) 388-5432
Mailing address
501 MORRIS ST, CHARLESTON, WV 25301-1326
(304) 388-5432
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.522332
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
116446
WV
367500000X
Certified Registered Nurse Anesthetist
APRN11033120
FL
Other
Enumeration date
03/14/2022
Last updated
06/27/2024
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