Michael D Goodlett in Auburn - Sports Medicine

Michael D Goodlett - NPI 1154399863

Michael D Goodlett is a Sports Medicine in Auburn, Alabama. Michael D Goodlett practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Michael D Goodlett is 1154399863. The last update date is 2009-05-18.

Michael D Goodlett's current location address is 349 South Donahue Drive, Auburn, Alabama. You can contact this provider via phone number 3348449821 and fax number 3348440932. The mailing address for Michael D Goodlett is 349 South Donahue Drive, Auburn, Alabama. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael D Goodlett
Address 349 South Donahue Drive, Auburn, Alabama
Phone Number 3348449821
Fax Number 3348440932
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1154399863
Provider Enumeration Date 2006-03-09
Last Updated Date 2009-05-18

Provider Mailing Address Detail

Address 349 South Donahue Drive
City Auburn
State Alabama (AL)
Post Code 36849
Phone Number 3348449821
Fax Number 3348440932

Provider's Primary Taxonomy Detail

Speciality Sports Medicine
Taxonomy 207Qs0010X
Licence No 10954
Definition:
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
51521101 AL BLUE CROSS

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FAQs about Michael D Goodlett

What is the Michael D Goodlett's unique identification number?

The Michael D Goodlett has been assigned the NPI (National Provider Identifier) Number 1154399863 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Michael D Goodlett's facilities are situated?

The facilities of Michael D Goodlett are physically located at the following address: 349 South Donahue Drive, Auburn, AL, 36849.

What is the Michael D Goodlett's area of specialization and corresponding taxonomy classification?

The Michael D Goodlett's specialty field is Sports Medicine, and it falls under the taxonomy code 207Qs0010X, which categorizes healthcare providers based on their specialties.

On what date did Michael D Goodlett receive its 1154399863 assignment from the Centers for Medicare & Medicaid Services?

The Michael D Goodlett was assigned its 1154399863 on 2006-03-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Michael D Goodlett's details last updated?

The information pertaining to the Michael D Goodlett, including its address, specialty, and other details, was most recently updated on 2009-05-18.

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