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:
Health care specialties
| Specialty | Code | License # | 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 4 months ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336767730 | NPPES |
| South Carolina | MEDICAID | NP7519 |
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