Goodjoin, Audrey

Goodjoin, Audrey is an individual health care provider with primary practice located at 200 N Nelson Dr , Fountain Inn SC 29644-9021. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Goodjoin, Audrey can be contacted via phone (864) 522-6270.

Contact Information

Primary practice address
200 N Nelson Dr Fountain Inn SC 29644-9021
Phone: (864) 522-6270
Fax: (864) 522-6275
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 23185 South Carolina

Profile Details

NPI number 1336767730
LBN Legal business name Goodjoin, Audrey
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2020
Last updated Jul 1st, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336767730 NPPES
South Carolina MEDICAID NP7519

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