Individual
AMY M GOODIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1800 12TH ST, MERIDIAN, MS 39301-4158
(601) 703-9639
(601) 703-3273
Mailing address
PO BOX 5183, MERIDIAN, MS 39302-5183
(601) 703-9506
(601) 703-3264
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00109
MS
Other
Enumeration date
05/23/2008
Last updated
03/14/2025
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