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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TREVIA GOODALL

Active Sole Proprietor

TREVIA GOODALL is a General Acute Care Hospital healthcare provider located in WEST MEMPHIS, Arkansas. NPI 1073048849 is currently active in the NPPES registry. Verify at CMS.

General Acute Care Hospital · WEST MEMPHIS, AR

Registration Details

NPI Number
1073048849
Provider Type
Individual
Gender
Female
NPI Issued
Apr 28, 2017 (9.3346165169596 yrs)
Last Updated
Apr 28, 2017
License
R095145 (AR)
Sole Proprietor
Yes

Practice Information

Address
800 W BROADWAY ST
WEST MEMPHIS, AR, 723012912
Browse AR providers · Browse ZIP 72301
Phone
8707355174
Primary Specialty
General Acute Care Hospital
282N00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.