Individual
JOHN GOODFRED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3965 S MENDENHALL RD STE 6, MEMPHIS, TN 38115-5914
(901) 365-1800
(901) 365-1862
Mailing address
3965 S MENDENHALL RD STE 6, MEMPHIS, TN 38115-5914
(901) 365-1800
(901) 365-1862
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
1807
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/04/2007
Last updated
03/25/2009
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