Individual
DR. DONALD BRUCE GOODMAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1450 MATTHEWS TOWNSHIP PKWY, SUITE 450, MATTHEWS, NC 28105-2387
(704) 384-8480
(704) 384-8481
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-8480
(704) 384-8481
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20659
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8936219
—
NC
05
—
N20659
—
SC
Enumeration date
01/23/2006
Last updated
06/12/2023
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