Neil E. Goodman
M.D. | Pediatric Adolescent Medicine | Male
Neil E. Goodman, M.D. is a St Simons Island, Georgia based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Neil E. Goodman is
5500 Frederica Rd Unit 2208, St Simons Island, Georgia - 31522-9703. He can be contacted on phone at
912-268-4633 and fax number 888-771-6577.
Neil E. Goodman is a sole proprietor of his business.
NPI number (Unique professional ID) for Neil E. Goodman is
1538448402 which was assigned by NPPES on 10 Aug, 2011 and it was last updated on 26 Feb, 2023.
Neil E. Goodman license number is
034143 for Pediatrics, Adolescent Medicine (2080A0000X) in Georgia.
Neil E. Goodman specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Neil E. Goodman basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics, Adolescent Medicine |
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| Provider Name : | Neil E. Goodman |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Neil E. Goodman address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 5500 Frederica Rd Unit 2208
St Simons Island, GA, 31522-9703
United States |
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| Phone Number : | 912-268-4633 |
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| Fax Number : | 888-771-6577 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1538448402 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 10 Aug, 2011 |
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| Last Updated On : | 26 Feb, 2023 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Neil E. Goodman are as mentioned. Primary taxonomy code for Neil E. Goodman, M.D. is
2080A0000X (Pediatrics, Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 034143 | GA |
| 2080A0000X | Pediatrics, Adolescent Medicine | No | 139707 | FL |
| 2080A0000X | Pediatrics, Adolescent Medicine | No | 82230 | SC |
| 2080A0000X | Pediatrics, Adolescent Medicine | No | 269918 | NY |
| 2080A0000X | Pediatrics, Adolescent Medicine | Yes | 034143 | GA |
Legacy Identifiers:
Other legacy medical identifiers of Neil E. Goodman such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 34143 | Other (non-Medicare) | GA | Medical License |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 23 Carriage Dr
St Simons Island, GA, 31522-5457
United States |
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| Phone Number : | 912-230-2323 |
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Business Location:
Patients can refer following map for directions to
Neil E. Goodman practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.