NPI 1457721839

Richard Goodman

Practitioner Prosthetist Goose Creek, SC

Practice location

Address: 386 Rutt Ln, Goose Creek, SC 29445-7808
Phone: (843) 882-7085

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence 7152 (SC)

Other Prosthetist providers in South Carolina →

Registry record

NPI: 1457721839
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Sep 2015
Record last updated: 29 Sep 2015

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.