Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANDREA D. GOODWIN, M.D.
ActiveObesity Medicine · MERIDIAN, MS
Registration Details
- NPI Number
- 1285616870
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 18, 2005 (20.434696038649 yrs)
- Last Updated
- Jul 21, 2022
- Licenses
-
17693 (MS)17693 (MS)
Practice Information
- Address
-
4715 24TH PLMERIDIAN, MS, 39305Browse MS providers · Browse ZIP 39305
- Phone
- 6016966736
- Fax
- 6016966778
- Primary Specialty
-
Obesity Medicine
207QB0002X
- Additional Specialty
- Obesity Medicine
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.