Audrey Goodjoin, NP | |
200 N Nelson Dr, Fountain Inn, SC 29644-9021 | |
(864) 522-6270 | |
(864) 522-6275 |
Full Name | Audrey Goodjoin |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 200 N Nelson Dr, Fountain Inn, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336767730 | NPI | - | NPPES |
NP7519 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 23185 (South Carolina) | Primary |
Entity Name | Prisma Health University Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238 |
Mailing Address | Practice Location Address |
---|---|
Audrey Goodjoin, NP 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 522-8614 | Audrey Goodjoin, NP 200 N Nelson Dr, Fountain Inn, SC 29644-9021 Ph: (864) 522-6270 |
Sara Admire, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 603 Country Gardens Dr, Fountain Inn, SC 29644 Phone: 864-901-6357 | |
Sarah A. Derrick, F.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 31 Carolina Oaks Dr, Fountain Inn, SC 29644 Phone: 864-980-3202 | |
Nicole Elizabeth Welborn, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 N Nelson Dr, Fountain Inn, SC 29644 Phone: 864-522-6270 Fax: 864-522-6275 | |
Jodi Bryson, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 501 Gulliver St, Fountain Inn, SC 29644 Phone: 864-862-2554 |