Gooden, Ronald D

Gooden, Ronald D is an individual health care provider with primary practice located at 105 Carter Park Dr Suite B, Seneca SC 29678-1152. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Gooden, Ronald D can be contacted via phone (864) 482-3122.

Contact Information

Primary practice address
105 Carter Park Dr Suite B Seneca SC 29678-1152
Phone: (864) 482-3122
Fax: (864) 482-3152
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 3995 South Carolina

Profile Details

NPI number 1609977727
LBN Legal business name Gooden, Ronald D
Credentials AU.D
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Jun 30th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609977727 NPPES
Georgia MEDICAID 701022879A
Georgia MEDICAID SAG021
Georgia Other DQ422Z
Georgia MEDICAID 002730800
Georgia MEDICAID 701022879B

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