Individual
JODI A. GOLDSBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28187
SC
207R00000X
Internal Medicine Physician
39260
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
281876
—
SC
01
—
P00648640
RAILROAD MEDICARE ID
SC
01
—
P00754368
RAILROAD MC ID-RSFPN
SC
Enumeration date
10/11/2006
Last updated
08/15/2012
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