Dr. Goodwin,l.l.c

NPI #1154513620 in Columbia, Maryland

Provider Information

NPI Number: 1154513620
Entity Type: Organization
Organization Name: Dr. Goodwin,l.l.c
Primary Specialty: Family Medicine
Enumeration Date: Aug 17, 2007
Last Updated: Aug 17, 2007

Practice Location

Address: 9650 SANTIAGO RD
Address 2: 108
City: Columbia
State: Maryland
ZIP Code: 21045-3957
Phone: (410) 997-5333

Authorized Official

Name: MRS. PAIGE J GOODWIN
Title: TREASURER
Phone: (410) 997-5333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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