Mr. Casey Lee Goodman, IDC
Mr. Casey Lee Goodman, IDC is an Independent Duty Corpsman in China Grove, North Carolina. Licensed in North Carolina. Registered with an NPI since 2012.
- Licensed in
- NC
- In the registry since
- 2012
Practice location Address checks out
255 Fry StChina Grove, NC 28023-6502
Phone: (704) 490-6885
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Independent Duty Corpsman (primary) | Taxonomy 1710I1002X · Licence 22874783 (NC) |
|---|
Record details
| NPI number | 1588916233 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | IDC |
| Sole proprietor | No |
| NPI enumerated | October 4, 2012 |
| Last updated in NPPES | November 16, 2022 |
| Certification date | November 16, 2022 |