Goodson, Mark Allen

Goodson, Mark Allen is an individual health care provider with primary practice located at 114 Welton Way Ste A , Mooresville NC 28117-9251. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Goodson, Mark Allen can be contacted via phone (704) 664-5766.

Contact Information

Primary practice address
114 Welton Way Ste A Mooresville NC 28117-9251
Phone: (704) 664-5766
Fax: (704) 664-9311
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 97-01373 North Carolina
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 9701373 North Carolina

Profile Details

NPI number 1487632881
LBN Legal business name Goodson, Mark Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2006
Last updated Feb 22nd, 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 1487632881 NPPES
North Carolina MEDICAID 790243U
North Carolina Other 2244486B
North Carolina Other G54400

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