Tony R Goodbar is a Specialist in Greenville, South Carolina. Tony R Goodbar practices all healthcare services and medical treatments related to Specialist. The NPI Number for Tony R Goodbar is 1588602734. The last update date is 2007-10-16.
Tony R Goodbar's current location address is 2094 Woodruff Rd, Greenville, South Carolina. You can contact this provider via phone number 8646769211 and fax number 8646769432. The mailing address for Tony R Goodbar is 2094 Woodruff Rd, Greenville, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tony R Goodbar |
|---|---|
| Address | 2094 Woodruff Rd, Greenville, South Carolina |
| Phone Number | 8646769211 |
| Fax Number | 8646769432 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1588602734 |
|---|---|
| Provider Enumeration Date | 2006-06-02 |
| Last Updated Date | 2007-10-16 |
Provider Mailing Address Detail
| Address | 2094 Woodruff Rd |
|---|---|
| City | Greenville |
| State | South Carolina (SC) |
| Post Code | 296075939 |
| Phone Number | 8646769211 |
| Fax Number | 8646769432 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 14711 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 14711 | SC | SC MED LIC # |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Tony R Goodbar by the Centers for Medicare & Medicaid Services?
The Tony R Goodbar has been assigned the NPI (National Provider Identifier) 1588602734 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Tony R Goodbar is geographically located?
The Tony R Goodbar is physically situated at the following location: 2094 Woodruff Rd, Greenville, SC, 296075939.
What is Tony R Goodbar's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Tony R Goodbar's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1588602734 to Tony R Goodbar?
The Centers for Medicare & Medicaid Services assigned the 1588602734 to Tony R Goodbar on 2006-06-02.
As of what date were the details related to Tony R Goodbar most recently updated or revised?
The information pertaining to Tony R Goodbar, including its address, specialty, and other relevant details, was last updated or revised on 2007-10-16.