Gooden, Stephen Marshall
Gooden, Stephen Marshall is an sole proprietor health care provider with primary practice located at 5109 Holly Ln , Morehead City NC 28557-2691. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Gooden, Stephen Marshall can be contacted via phone (706) 825-5166.Contact Information
Primary practice address
5109 Holly Ln
Morehead City NC 28557-2691
Phone: (706) 825-5166
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 033972 | Georgia |
Profile Details
| NPI number | 1598759391 |
|---|---|
| LBN Legal business name | Gooden, Stephen Marshall |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 7th, 2005 |
| Last updated | Mar 9th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598759391 | NPPES |
| South Carolina | MEDICAID | 120176 |
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