Goode Provider
NPI #1982491361 in Southaven, Mississippi
Provider Information
- NPI Number
- 1982491361
- Entity Type
- Organization
- Organization Name
- Goode Provider
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Apr 21, 2025
- Last Updated
- Jun 11, 2025
Practice Location
- Address
- 1630 GOODMAN RD E STE 3
- City
- Southaven
- State
- Mississippi
- ZIP Code
- 38671-9556
- Phone
- (662) 470-7232
Authorized Official
- Name
- COURTNEY GOODE
- Title
- OWNER
- Phone
- (662) 470-7232
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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