| |
3986 Fettler Park Dr, Dumfries, VA 22025-1997 | |
(703) 221-8307 | |
(703) 221-8548 |
Full Name | |
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Type | Facility |
Speciality | Audiologist |
Location | 3986 Fettler Park Dr, Dumfries, Virginia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699241810 | NPI | - | NPPES |
Provider Name | Amy N Goodwine |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1285698308 PECOS PAC ID: 8729031448 Enrollment ID: I20150603001826 |
Mailing Address | Practice Location Address |
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3986 Fettler Park Dr, Dumfries, VA 22025-1997 Ph: (703) 221-8307 | 3986 Fettler Park Dr, Dumfries, VA 22025-1997 Ph: (703) 221-8307 |
Dr. Amy Nicole Goodwine, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 3986 Fettler Park Dr, Dumfries, VA 22025 Phone: 703-221-8307 Fax: 703-221-8548 | |