Individual provider · Type 1 NPI
Mary Ann Goodrich
Driver · Woodville, MS
NPI number
1235704172
Active
Practice location
66 Hill Street
Woodville, MS 39669
Fax (601) 888-6876
Mailing address
PO Box 1594
Woodville, MS 39669-1594
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | 801901868 (MS) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
About NPI 1235704172
Mary Ann Goodrich's National Provider Identifier is 1235704172, issued on May 24, 2021. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Woodville, MS. The record was last updated on May 24, 2021.