Whalio Doctors

NPI 1013956663

Jamie C Goodman, DO

Practitioner Family Medicine Physician Greenville, SC

Practice location

Address
6119 White Horse Rd STE 14, Greenville, SC 29611-3838
Phone
(864) 614-7001
Mailing address
PO Box 740013, Atlanta, GA 30374-0013

Registered specialties (3)

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 37735 (SC)
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence DO1433 (TN)
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 0102201965 (VA)

Registry record

NPI
1013956663
Entity type
Individual
Sex (as registered)
Male
NPI issued
6 Jun 2006
Record last updated
28 Nov 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.