Goodno, Amanda Lynn

Goodno, Amanda Lynn is an individual health care provider with primary practice located at 500 N 12Th St , West Columbia SC 29169-6502. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Goodno, Amanda Lynn can be contacted via phone (803) 217-0415.

Contact Information

Primary practice address
500 N 12Th St West Columbia SC 29169-6502
Phone: (803) 217-0415
Fax: (803) 939-1650
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 32741 South Carolina

Profile Details

NPI number 1124330139
LBN Legal business name Goodno, Amanda Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2010
Last updated Nov 1st, 2013 - about 13 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 1124330139 NPPES
South Carolina MEDICAID 327417

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