Individual provider · Type 1 NPI

Jerry L. Goddard, MD

Family Medicine Physician · Carbondale, IL

NPI number 1295711240 Active

Practice location

305 W Jackson St, Ste 200
Carbondale, IL 62901-1474

Call (618) 536-6621 Map

Fax (618) 453-1102

Other practice locations

  • 2553 Ken Gray Blvd, West Frankfort, IL 62896-4174 · (618) 932-3937

Specialties and licenses

TaxonomyCodeLicense
Sports Medicine (Family Medicine) Physician 207QS0010X036-054846 (IL)
Family Medicine Physician Primary 207Q00000X036-054846 (IL)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

39 other providers at this address

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About NPI 1295711240

Jerry L. Goddard, MD's National Provider Identifier is 1295711240, issued on Dec 21, 2005. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Carbondale, IL. The record was last updated on Dec 28, 2020.