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Organization

GOODE MEDICINE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STACY C GOODE M.D. (OWNER)
(334) 493-0233
Entity
Organization

Contact information

Practice address
101 E PAULK AVE, SUITE B, OPP, AL 36467-1727
(334) 493-0233
(334) 493-0274
Mailing address
101 E PAULK AVE, SUITE B, OPP, AL 36467-1727
(334) 493-0233
(334) 493-0274

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27479
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009913532
AL
Enumeration date
01/21/2009
Last updated
01/21/2009
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