Gregory Thomas Goodwin in Fort Jones - Medical

Gregory Thomas Goodwin - NPI 1427197920

Gregory Thomas Goodwin is a Medical in Fort Jones, California. Gregory Thomas Goodwin practices all healthcare services and medical treatments related to Medical. The NPI Number for Gregory Thomas Goodwin is 1427197920. The last update date is 2013-08-15.

Gregory Thomas Goodwin's current location address is 9024 Sniktaw Ln, Fort Jones, California. You can contact this provider via phone number 5304684470 and fax number 5304684478. The mailing address for Gregory Thomas Goodwin is 9024 Sniktaw Ln, Fort Jones, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Gregory Thomas Goodwin
Address 9024 Sniktaw Ln, Fort Jones, California
Phone Number 5304684470
Fax Number 5304684478
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1427197920
Provider Enumeration Date 2007-02-05
Last Updated Date 2013-08-15

Provider Mailing Address Detail

Address 9024 Sniktaw Ln
City Fort Jones
State California (CA)
Post Code 960329408
Phone Number 5304684470
Fax Number 5304684478

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No PA14029
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

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FAQs about Gregory Thomas Goodwin

What is the Gregory Thomas Goodwin's 1427197920?

The Gregory Thomas Goodwin's NPI (National Provider Identifier) Number is 1427197920. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Gregory Thomas Goodwin is located?

The Gregory Thomas Goodwin is situated at the following address: 9024 Sniktaw Ln, Fort Jones, CA, 960329408.

What is Gregory Thomas Goodwin's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Gregory Thomas Goodwin is Medical, and the taxonomy code that categorizes this field of expertise is 363Am0700X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1427197920 to Gregory Thomas Goodwin?

The Centers for Medicare & Medicaid Services originally issued the 1427197920 to Gregory Thomas Goodwin on 2007-02-05.

As of what date was the information regarding Gregory Thomas Goodwin, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Gregory Thomas Goodwin, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-08-15.

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