Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QG0300X | Family Doctor - Geriatric Medicine | 01879 | NC |
N | 207QG0300X | Family Doctor - Geriatric Medicine | OS013113 | PA |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 01879 | NC |
NPI | 1598745325 |
---|---|
Provider Name | Taylor K Goodnough |
First Address | Goldsboro, NC 27534-1728 |
Second Address | Durham, NC 27713-7812 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2006 |
Last Update Date | 09/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1598745325 | (05) | NC |
I45164 | (02) |