Mrs. Amanda Goodwin
Family Doctor - Geriatric Medicine
4400 Walnut St
Greenville
, Texas 75401-5586
Mrs. Amanda Goodwin
Family Doctor - Geriatric Medicine
4400 Walnut St
Greenville
, Texas 75401-5586
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About
Features
Specialties
- Family Doctor - Geriatric Medicine
Languages spoken
- English
Location
First Address
- Mrs. Amanda Goodwin
- 250 Ravine St
- Emory, TX
- Zip : 75440-2433
- Phone :
Second Address
- Mrs. Amanda Goodwin
- 4400 Walnut St
- Greenville, TX
- Zip : 75401-5586
- Phone : (903) 455-4618
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QG0300X | Family Doctor - Geriatric Medicine | 214317 | TX |
National Provider Identifier
| NPI | 1245715747 |
|---|---|
| Provider Name | Mrs. Amanda Goodwin |
| First Address | Emory, TX 75440-2433 |
| Second Address | Greenville, TX 75401-5586 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/10/2018 |
| Last Update Date | 01/10/2018 |
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.