Goodman, Neil E.

Goodman, Neil E. is an individual health care provider with primary practice located at 5500 Frederica Rd Unit 2208 , St Simons Island GA 31522-9703. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Adolescent Medicine is his primary health care specialty. Goodman, Neil E. can be contacted via phone (912) 268-4633.

Contact Information

Primary practice address
5500 Frederica Rd Unit 2208 St Simons Island GA 31522-9703
Phone: (912) 268-4633
Fax: (888) 771-6577
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 034143 Georgia
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 139707 Florida
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 82230 South Carolina
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 269918 New York
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 034143 Georgia

Profile Details

NPI number 1538448402
LBN Legal business name Goodman, Neil E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2011
Last updated Feb 26th, 2023 - about 2 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 1538448402 NPPES
Georgia Other 34143 MEDICAL LICENSE

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