NPI 1104474717

Justin T Goad

Practitioner Private Vehicle Florence, AL

Practice location

Address: 4821 County Road 24, Florence, AL 35634-5725
Phone: (256) 335-4031

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X Licence 6051779 (AL)

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Registry record

NPI: 1104474717
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Aug 2019
Record last updated: 27 Aug 2019

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.