DR. J C GOODMAN JR. (NPI# 1659825248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659825248 |
| Entity Type | Individual |
| Full Name | DR. J C GOODMAN JR. |
| Credential | ND |
| Practice Address |
531 W Evans St Florence SC 29501-3407 |
| Practice Telephone | 8436692295 |
| Practice Fax Number | 8436641109 |
| Mailing Telephone | 8436692295 |
| Mailing Fax Number | 8436641109 |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2016-08-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 175F00000X | Naturopath | Other Service Providers | ||
| Y | 246QL0900X |
Spec/Tech, Pathology Specialization: Laboratory Management |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
531 W EVANS ST |
| City | FLORENCE |
| State | SC |
| Zip Code | 29501-3407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912341694 | Wanda L James | Counselor | 531 W Evans St, Florence, SC 29501-3407 | 2013-04-24 |
| 1801244017 | Alternative Wellness Center | Clinical Medical Laboratory | 531 W Evans St, Suite B, Florence, SC 29501-3407 | 2016-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700350444 | Angel Edwards Brown | Nurse Practitioner | Mcleod Health, 555 East Cheves Street, Florence, SC 29501 | 2019-01-16 |
| 1497229124 | Fred L. Evans IIi | Physical Therapy Assistant | 2439 Willwood Dr., Florence, SC 29501 | 2019-01-16 |
| 1841715596 | Faith Hope Love Homecare | Home Health | 604 S. Coit Street, Florence, SC 29501 | 2017-08-03 |
| 1083156350 | Karen Artis-bacote | Nurse Practitioner | 3835 Susan Dr, Florence, SC 29501 | 2016-11-17 |
| 1992251581 | Higher Ground Christian Counseling Service, LLC | Counselor | 1801 D West Evans Street, Florence, SC 29501 | 2016-09-01 |
| 1952752818 | Jack Carter Shackelford | Chiropractor | 311 West Palmetto Street, Florence, SC 29501 | 2016-06-22 |
| 1750743506 | Profection Therapy LLC | Clinic/Center | 315d North Beltline Dr., Florence, SC 29501 | 2016-03-22 |
| 1386002467 | Bergelt Optometric LLC | Optometrist | 2672 David Mcleod Blvd, Florence, SC 29501 | 2016-02-04 |
| 1437531993 | Sherika Tarshall Stuckey | Nurse Practitioner | 720 Coventry Lane, Apt C, Florence, SC 29501 | 2015-06-22 |
| 1245610062 | Christopher Tyree | Podiatrist | 709 W Evans St, Florence, SC 29501 | 2015-06-06 |
| Find all providers in zip 29501 | ||||
| Taxonomy Code | 246QL0900X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Pathology |
| Specialization | Laboratory Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619108859 | Vicki Ann Howell | Spec/Tech, Pathology | 211 Kimball Dr, Marion, SC 29571-1911 | 2009-08-05 |
| 1679709992 | Kathleen Vernice Aldridge | Spec/Tech, Pathology | 924 Lansfaire Dr, Charleston, SC 29414-9066 | 2009-06-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.