Individual
WILLIAM H GOODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2288 TATMAN COE RD, MC DERMOTT, OH 45652-8902
(740) 340-8826
Mailing address
PO BOX 265, LUCASVILLE, OH 45648-0265
(740) 250-3454
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
171WH0202X
Home Modifications Contractor
—
—
171WV0202X
Vehicle Modifications Contractor
—
—
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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