NPI 1285175521

Teri Rene Goodhart, PAC

Practitioner Physician Assistant Blacksburg, VA

Practice location

Address: 3700 S Main St, Blacksburg, VA 24060-7017
Phone: (540) 951-1111
Mailing address: 735 Holly Dr, Christiansburg, VA 24073-4451

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 0110005707 (VA)

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Registry record

NPI: 1285175521
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Mar 2017
Record last updated: 4 Jan 2024

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.