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1104170166
CHARLOTTE WHITEHURST GOODWYN
FARMVILLE, NC
NPI
1104170166
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NC 5005885)
Enumeration Date
2012-10-30
Last Update Date
2012-11-01
Business Address
-- CHARLOTTE WHITEHURST GOODWYN FNP
3485 N. MAIN STREET
FARMVILLE, NC 27858
Phone number: 252-753-3193
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Mailing Address
-- CHARLOTTE WHITEHURST GOODWYN FNP
706 FERNCLIFF LN
TARBORO, NC 27886-5629
Phone number: 252-883-7416
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