| Goodwin Medical Clinic Llc | |
|
431 S 3rd St Gadsden AL 35901-5210 | |
| (256) 547-0433 | |
| (256) 547-0460 |
| Full Name | Goodwin Medical Clinic Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 431 S 3rd St, Gadsden, Alabama |
| Authorized Official Name and Position | Jeremy Dalton Goodwin (OWNER/ SOLE MEMBER OF LLC) |
| Authorized Official Contact | 2565470433 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Goodwin Medical Clinic Llc 431 S 3rd St Gadsden AL 35901-5210 Ph: (256) 547-0433 | Goodwin Medical Clinic Llc 431 S 3rd St Gadsden AL 35901-5210 Ph: (256) 547-0433 |
| NPI Number | 1841662020 |
|---|---|
| Provider Enumeration Date | 10/27/2015 |
| Last Update Date | 02/24/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841662020 | NPI | - | NPPES |
| 10270G2201 | Other | MEDICARE GROUP PTAN | |
| 511-69544 | Other | BLUE CROSS BLUE SHIELD LOCATION ID NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 24747 (Alabama) | Primary |
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