Individual
DR. THOMAS GOODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1018 BROAD ST, SUMMERSVILLE, WV 26651-1711
(304) 872-1006
Mailing address
1018 BROAD ST, SUMMERSVILLE, WV 26651-1711
(304) 872-1006
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
775
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2202068000
—
WV
Enumeration date
09/20/2006
Last updated
10/05/2007
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