Individual
MR. CHARLES DRU GOODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 E MAIN ST, STE 102, COLUMBUS, OH 43215-5369
(614) 321-3701
(614) 259-6072
Mailing address
500 E MAIN ST, STE 102, COLUMBUS, OH 43215-5369
(614) 321-3701
(614) 259-6072
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35040957
OH
2086S0120X
Pediatric Surgery Physician
35040957
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0336121
—
OH
Enumeration date
09/22/2006
Last updated
12/17/2017
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