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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

PAMELA C GOODMAN, PA
MEDICAL CENTER BLVD
WINSTON-SALEM, NC27157-0001
 Phone: 336-716-2255
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Gastroenterology

2080P0206X 37 Physician/Pediatric Medicine
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for PAMELA C GOODMAN · (Female)

NPI Number 1558345280
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 12/06/2005
Last updated 05/23/2008 - About 8 years ago
Sole proprietor 1 No
Identifiers
NC License # 101507
NC Medicare PIN 2758543
Medicare UPIN P92749
Other 7653739 AETNA
Other C1685 MEDCOST
Hospital affiliation(s) n/a
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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