Goodman, Brad Henry

Goodman, Brad Henry is an individual health care provider with primary practice located at 505 Eisenhower Dr , Savannah GA 31406-2668. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Goodman, Brad Henry can be contacted via phone (912) 354-6190.

Contact Information

Primary practice address
505 Eisenhower Dr Savannah GA 31406-2668
Phone: (912) 354-6190
Fax: (912) 354-6172
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 38780 Georgia

Profile Details

NPI number 1407816432
LBN Legal business name Goodman, Brad Henry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Nov 4th, 2022 - about 3 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407816432 NPPES
South Carolina MEDICAID G38780
South Carolina MEDICAID 000762022E
South Carolina Other 030004120
South Carolina Other 768017

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