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NPI Code Detail

MEDICARE: DAMITA GOUDY-MCWILLIAMS

MEDICARE: DAMITA GOUDY-MCWILLIAMS
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
1376K00000XNurse's AideOH

General Provider Information

NPI Number : 1265834907
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAMITA GOUDY-MCWILLIAMS
Provider Business Mailing Address
First Line : 1633 KARON DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43219-1250
Country : US
Telephone Number : 614-725-0356
Fax Number :
Provider Business Practice Location Address
First Line : 1633 KARON DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43219-1250
Country : US
Telephone Number : 614-725-0356
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2014
Last Update Date : 09/25/2014

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Directions to “ DAMITA GOUDY-MCWILLIAMS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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