Robert G Goodrich
Dermatologist
2704 Saint Jude St
Greensboro
, North Carolina 27405-3670
Robert G Goodrich
Dermatologist
2704 Saint Jude St
Greensboro
, North Carolina 27405-3670
(336) 235-4018
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Robert G Goodrich
- 2704 Saint Jude St
- Greensboro, NC
- Zip : 27405-3670
- Fax : (336) 235-4018
- Phone : (336) 954-7546
Second Address
- Robert G Goodrich
- 2704 Saint Jude St
- Greensboro, NC
- Zip : 27405-3670
- Fax : (336) 235-4018
- Phone : (336) 954-7546
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 200001142 | NC |
National Provider Identifier
| NPI | 1013914910 |
|---|---|
| Provider Name | Robert G Goodrich |
| First Address | Greensboro, NC 27405-3670 |
| Second Address | Greensboro, NC 27405-3670 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/07/2005 |
| Last Update Date | 03/01/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 89134YU | (05) | NC |
| H84573 | (02) | NC |
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.