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NPI Code Detail

MEDICARE: DR. NIGEL THOMAS GOODCHILD MD

MEDICARE: DR. NIGEL THOMAS GOODCHILD MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0001XRadiation Oncology Physician0101032577VA

General Provider Information

NPI Number : 1235116682
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NIGEL THOMAS GOODCHILD MD
Provider Business Mailing Address
First Line : PO BOX 13624
Second Line :
City : GREENSBORO
State : NC
Zip : 27415-3624
Country : US
Telephone Number : 336-274-4285
Fax Number : 336-274-8097
Provider Business Practice Location Address
First Line : 320 HOSPITAL DR
Second Line :
City : MARTINSVILLE
State : VA
Zip : 24112-1900
Country : US
Telephone Number : 276-666-7827
Fax Number : 276-666-7566
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2005
Last Update Date : 10/15/2007

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