Neil E Goodman Md Pc

LBN: Neil E Goodman Md Pc
Neil E Goodman Md Pc is an health care organization with primary practice located at 2500 Starling St Suite # 401, Brunswick GA 31520-4219. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Neil E Goodman Md Pc can be contacted via phone (912) 554-0544, or through Goodman, Neil Evan via phone (912) 554-0544.

Contact Information

Primary practice address
2500 Starling St Suite # 401 Brunswick GA 31520-4219
Phone: (912) 554-0544
Fax: (912) 554-0344
Website:
Map and Directions
Authorized official contact:
Name: Goodman, Neil Evan Doctor of Medicine (MD)
Phone: (912) 554-0544

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 034143 Georgia
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 034143 Georgia

Profile Details

NPI number 1104831064
LBN Legal business name Neil E Goodman Md Pc
DBA Doing business as
Authorized official Goodman, Neil Evan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 29th, 2006
Last updated Mar 7th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104831064 NPPES
Georgia MEDICAID 00714876G
Georgia Other 034143

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