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1710038161
JACK ANDREW GOODMAN
MEMPHIS, TN
NPI
1710038161
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207L00000X Anesthesiology
(Licence: TN md0000014100)
Enumeration Date
2007-01-14
Last Update Date
2007-07-08
Business Address
Dr. JACK ANDREW GOODMAN M.D.
4515 POPLAR AVE STE 426
MEMPHIS, TN 38117-7517
Phone number: 901-683-6083
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Mailing Address
Dr. JACK ANDREW GOODMAN M.D.
4515 POPLAR AVE STE 426
MEMPHIS, TN 38117-7517
Phone number: 901-683-6083
Copy
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