Whalio Doctors

NPI 1124330139

Amanda Lynn Goodno, MD

Practitioner Pediatrics Physician West Columbia, SC

Practice location

Address
500 N 12th St, West Columbia, SC 29169-6502
Phone
(803) 217-0415
Fax
(803) 939-1650
Mailing address
PO Box 3788, Columbia, SC 29230-3788

Registered specialties

Pediatrics Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 32741 (SC)

Registry record

NPI
1124330139
Entity type
Individual
Sex (as registered)
Female
NPI issued
7 Jul 2010
Record last updated
1 Nov 2013

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.