NPI 1306620539

Ebony Goodson

Practitioner Health & Wellness Coach West Columbia, SC

Practice location

Address: 3971 Southeastern Way, West Columbia, SC 29169-2442
Phone: (803) 422-9815
Mailing address: 2815 Peach St, Cayce, SC 29033-2731

Registered specialties (3)

Health & Wellness Coach Primary

Other Service Providers Taxonomy 171400000X

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Home Health Aide

Nursing Service Related Providers Taxonomy 374U00000X

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Nurse's Aide

Nursing Service Related Providers Taxonomy 376K00000X

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Registry record

NPI: 1306620539
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Aug 2023
Record last updated: 21 Aug 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.