Organization
HENRY C. GOODMAN, M.D. PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY CARL GOODMAN M.D. (NEUROLOGIST)
(606) 329-2823
Entity
Organization
Contact information
Practice address
2301 LEXINGTON AVE, SUITE 300, ASHLAND, KY 41101-2823
(606) 329-2823
(606) 324-6291
Mailing address
2301 LEXINGTON AVE, SUITE 300, ASHLAND, KY 41101-2823
(606) 329-2823
(606) 324-6291
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
23890
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0439869
—
OH
05
—
64238900
—
KY
Enumeration date
05/03/2007
Last updated
04/23/2009
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