Individual
DR. ALLISON H GOODLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4701 SPOTSYLVANIA PARKWAY, SUITE 200, FREDERICKSBURG, VA 22408
(540) 834-5430
(540) 834-5431
Mailing address
PO BOX 1460, FREDERICKSBURG, VA 22402-1460
(540) 786-2100
(540) 786-0677
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101238185
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000502782
AETNA CAP
VA
01
—
0101238185
LICENSE
VA
05
—
010165237
—
VA
01
—
179657
ANTHEM
VA
01
—
3867087
AETNA HMO
VA
01
—
7130390
AETNA NON HMO
VA
01
—
8133244
MAMSI
VA
01
—
CA9037
MCR RAILROAD GROUP
VA
01
—
CO2375
MEDICARE GROUP
VA
Enumeration date
01/16/2006
Last updated
03/21/2012
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