Individual
DR. BETTY A GOAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
131 7TH AVE SW, SOUTH CHARLESTON, WV 25303-1417
(304) 744-0845
(304) 744-8294
Mailing address
131 7TH AVE, SOUTH CHARLESTON, WV 25303-1417
(304) 744-0845
(304) 744-8294
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
18971
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
550770116
TAX ID
WV
Enumeration date
08/17/2005
Last updated
06/25/2013
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