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Individual

DR. ELLIS L GOODIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
210 25TH AVE N STE 1204, NASHVILLE, TN 37203-1620
(615) 312-0600
Mailing address
210 25TH AVE N STE 1204, NASHVILLE, TN 37203-1620
(615) 312-0600
(615) 320-3259

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
9637
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3036027
TN
05
3791068
TN
05
3791307
TN
05
64771223
KY
Enumeration date
12/27/2005
Last updated
03/07/2023
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