| David J Goode Md Pa | |
|
964 Avon Rd Winston Salem NC 27104-1014 | |
| (336) 761-0326 | |
| (336) 760-0524 |
| Full Name | David J Goode Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 964 Avon Rd, Winston Salem, North Carolina |
| Authorized Official Name and Position | David John Goode (PRESIDENT) |
| Authorized Official Contact | 3367610326 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David J Goode Md Pa 964 Avon Rd Winston Salem NC 27104-1014 Ph: (336) 761-0326 | David J Goode Md Pa 964 Avon Rd Winston Salem NC 27104-1014 Ph: (336) 761-0326 |
| NPI Number | 1649294083 |
|---|---|
| Provider Enumeration Date | 07/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649294083 | NPI | - | NPPES |
| 36186 | Other | NC | BLUE CROSS/BLUE SHIELD |
| 86 36186 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 15075 (North Carolina) | Primary |
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