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NPI Code Detail

MEDICARE: DR. BARBARA B. GOODMAN M.D.

MEDICARE:  DR. BARBARA B. GOODMAN  M.D.
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
1207Q00000XFamily Medicine Physician12504MS

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1080191663OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2730-09442OTHERBLUE CROSS OF AL
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285616144
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BARBARA B. GOODMAN M.D.
Provider Business Mailing Address
First Line : PO BOX 5183
Second Line :
City : MERIDIAN
State : MS
Zip : 39302-5183
Country : US
Telephone Number : 601-703-4282
Fax Number : 601-703-4597
Provider Business Practice Location Address
First Line : 2800 N HILLS ST
Second Line :
City : MERIDIAN
State : MS
Zip : 39305-2643
Country : US
Telephone Number : 601-693-9906
Fax Number : 601-484-6704
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2005
Last Update Date : 11/06/2013

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Directions to “ DR. BARBARA B. GOODMAN M.D.” Practice Location

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