Goodman, David A

Goodman, David A is an individual health care provider with primary practice located at 4140 Ferncreek Dr Suite 601, Fayetteville NC 28314-2563. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Goodman, David A can be contacted via phone (910) 485-3880.

Contact Information

Primary practice address
4140 Ferncreek Dr Suite 601 Fayetteville NC 28314-2563
Phone: (910) 485-3880
Fax: (910) 485-5341
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 9900510 North Carolina

Profile Details

NPI number 1093714024
LBN Legal business name Goodman, David A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Aug 5th, 2013 - about 12 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 1093714024 NPPES
North Carolina MEDICAID 891233X

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