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

VIVIAN LEIGH GOODWIN

Active Sole Proprietor

VIVIAN LEIGH GOODWIN is a Podiatric Surgery healthcare provider located in LUCEDALE, Mississippi. NPI 1417504762 is currently active in the NPPES registry. Verify at CMS.

Podiatric Surgery · LUCEDALE, MS

Registration Details

NPI Number
1417504762
Provider Type
Individual
Gender
Female
NPI Issued
Aug 21, 2019 (6.9833089391934 yrs)
Last Updated
Aug 21, 2019
Sole Proprietor
Yes

Practice Information

Address
7725 JACKSON COUNTY LINE RD
LUCEDALE, MS, 394524003
Browse MS providers · Browse ZIP 39452
Phone
2282193319
Primary Specialty
Podiatric Surgery
3747A0650X

Other Podiatric Surgery Providers in LUCEDALE, MS

Name Credential NPI
MRS. PAULINE D SHEA 1215601117
DARVIN RICKEY TANNER SR. RN 1578278529
JOSEPH PERRY 1346104411
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.