Mr. Jay Drew Goodman
Physical Medicine & Rehabilitation Doctor
1603 Hillsborough St 1603 Hillsborough Street
Raleigh
, North Carolina 27605-1638
Mr. Jay Drew Goodman
Physical Medicine & Rehabilitation Doctor
1603 Hillsborough St 1603 Hillsborough Street
Raleigh
, North Carolina 27605-1638
(919) 838-5379
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About
Features
Specialties
- Physical Medicine & Rehabilitation Doctor
Languages spoken
- English
Location
First Address
- Mr. Jay Drew Goodman
- 1603 Hillsborough St Wakemed At Alexander Ymca
- Raleigh, NC
- Zip : 27605-1638
- Fax : (919) 838-5379
- Phone : (919) 350-3800
Second Address
- Mr. Jay Drew Goodman
- 1603 Hillsborough St 1603 Hillsborough Street
- Raleigh, NC
- Zip : 27605-1638
- Fax : (919) 838-5379
- Phone : (919) 350-3800
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation Doctor | P5645 | NC |
National Provider Identifier
| NPI | 1023568680 |
|---|---|
| Provider Name | Mr. Jay Drew Goodman |
| First Address | Raleigh, NC 27605-1638 |
| Second Address | Raleigh, NC 27605-1638 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/10/2016 |
| Last Update Date | 07/10/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.