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1427721091
MARY L GOODMAN
CHARLESTON, SC
NPI
1427721091
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 25282)
Enumeration Date
2021-07-29
Last Update Date
2022-04-28
Business Address
MARY L GOODMAN DNP
171 ASHLEY AVE
CHARLESTON, SC 29425-5294
Phone number: 843-792-1414
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Mailing Address
MARY L GOODMAN DNP
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-6200
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