Goodridge, Christina Lynn

Goodridge, Christina Lynn is an sole proprietor health care provider with primary practice located at 421 S 28Th Ave Ste 200 , Hattiesburg MS 39401-7208. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Goodridge, Christina Lynn can be contacted via phone (601) 268-5640.

Contact Information

Primary practice address
421 S 28Th Ave Ste 200 Hattiesburg MS 39401-7208
Phone: (601) 268-5640
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 023094 Louisiana
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 16873 Mississippi

Profile Details

NPI number 1033195375
LBN Legal business name Goodridge, Christina Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2005
Last updated Jun 7th, 2024 - about last year

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 1033195375 NPPES
Louisiana MEDICAID 1484261

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