Gregory Blake Goode, MD | |
141 Tryon Rd, Ste A, Rutherfordton, NC 28139-3099 | |
(828) 286-9049 | |
Not Available |
Full Name | Gregory Blake Goode |
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Gender | Male |
Speciality | Pediatrics |
Location | 141 Tryon Rd, Rutherfordton, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1730198656 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | 35343 (North Carolina) | Primary |
Entity Name | Carolinas Physicians Network Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437607686 PECOS PAC ID: 3375449655 Enrollment ID: O20040115000819 |
Mailing Address | Practice Location Address |
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Gregory Blake Goode, MD Po Box 19305, Charlotte, NC 28219-9305 Ph: () - | Gregory Blake Goode, MD 141 Tryon Rd, Ste A, Rutherfordton, NC 28139-3099 Ph: (828) 286-9049 |
Anita Hill Powell, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 141 Tryon Rd, Ste A, Rutherfordton, NC 28139 Phone: 828-286-9049 | |
Cassandra Marie Graeff, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 141 Tryon Rd, Ste A, Rutherfordton, NC 28139 Phone: 828-286-9049 | |
Willis Arthur Archer, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 141 Tryon Road, Suite A, Rutherfordton, NC 28139 Phone: 828-286-9049 Fax: 828-286-5596 | |
Jerald Albert Delagarza, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 288 S Ridgecrest Ave, Suite 100, Rutherfordton, NC 28139 Phone: 828-287-9325 Fax: 828-287-9709 |