Whalio Doctors

NPI 1023568680

Jay Drew Goodman, PTSCS

Practitioner Physical Medicine & Rehabilitation Physician Raleigh, NC

Practice location

Address
1603 Hillsborough St 1603 Hillsborough Street, Raleigh, NC 27605-1638
Phone
(919) 350-3800
Fax
(919) 838-5379
Mailing address
1603 Hillsborough St Wakemed at Alexander Ymca, Raleigh, NC 27605-1638

Registered specialties

Physical Medicine & Rehabilitation Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence P5645 (NC)

Registry record

NPI
1023568680
Entity type
Individual
Sex (as registered)
Male
NPI issued
7 Oct 2016
Record last updated
7 Oct 2016

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.