Goodman, Neil E.
Goodman, Neil E. is an individual health care provider with primary practice located at 5500 Frederica Rd Unit 2208 , St Simons Island GA 31522-9703. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Adolescent Medicine is his primary health care specialty. Goodman, Neil E. can be contacted via phone (912) 268-4633.Contact Information
Primary practice address
5500 Frederica Rd Unit 2208
St Simons Island GA 31522-9703
Phone: (912) 268-4633
Fax: (888) 771-6577
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 034143 | Georgia |
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 139707 | Florida |
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 82230 | South Carolina |
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 269918 | New York |
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 034143 | Georgia |
Profile Details
| NPI number | 1538448402 |
|---|---|
| LBN Legal business name | Goodman, Neil E. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2011 |
| Last updated | Feb 26th, 2023 - about 3 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 | 1538448402 | NPPES |
| Georgia | Other | 34143 | MEDICAL LICENSE |
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