Goodwin Childrens Clinic, Plc

NPI #1548515638 in Lexington, Tennessee

Provider Information

NPI Number
1548515638
Entity Type
Organization
Organization Name
Goodwin Childrens Clinic, Plc
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Jul 16, 2012
Last Updated
Jul 16, 2012

Practice Location

Address
9486 HIGHWAY 412 W
ZIP Code
38351-5713
Phone
(731) 798-0868

Authorized Official

Name
MARY KATHERYN GOODWIN, MSN, APN
Title
NURSE PRACTITIONER/OWNER
Phone
(731) 798-0868

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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