Organization
DR GOODWIN & ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL L MCKENZIE (ADMINISTRATOR)
(410) 997-5333
Entity
Organization
Contact information
Practice address
9650 SANTIAGO RD STE 109, COLUMBIA, MD 21045-3958
(410) 997-5333
(410) 992-9819
Mailing address
9650 SANTIAGO RD STE 109, COLUMBIA, MD 21045-3958
(410) 997-5333
(410) 992-9819
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
05/01/2012
Last updated
05/01/2012
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