Individual provider · Type 1 NPI
Mary L. Goodman, DNP
Family Nurse Practitioner · Charleston, SC
NPI number
1427721091
Active
Practice location
171 Ashley Ave
Charleston, SC 29425-5294
Mailing address
PO Box 751461
Charlotte, NC 28275-1461
Other practice locations
- 1101 Old Trolley Rd Ste 300, Summerville, SC 29485-5294 · (843) 376-2670
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 25282 (SC) |
Family Nurse Practitioner: Definition to come...
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About NPI 1427721091
Mary L. Goodman, DNP's National Provider Identifier is 1427721091, issued on Jul 29, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Charleston, SC. The record was last updated on Apr 28, 2022.