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General NPI Number Information
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NPI Number | 1093430654
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Entity Type | Organization
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Legal Business Name | GOODMAN MEDICAL SERVICES, PC
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Dates
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Enumeration Date | 10/06/2022
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 160 JUNIPER CT STE 100
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City | BRUNSWICK
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State | GA
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Zip | 31520-1952
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Country | US
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Telephone | 912-268-4633
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Fax | 888-771-6577
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Provider Business Mailing Address
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Address Line | 1089 W MISSION LN SE
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City | DARIEN
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State | GA
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Zip | 31305-4951
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Country | US
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Telephone | 912-230-2323
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | DR. NEIL E GOODMAN
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Credential | MD
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Telephone | 912-268-4633
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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