Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GREGORY THOMAS GOODWIN, PA-C
ActiveMR. GREGORY THOMAS GOODWIN, PA-C is a Medical Physician Assistant healthcare provider located in FORT JONES, California. NPI 1427197920 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · FORT JONES, CA
Registration Details
- NPI Number
- 1427197920
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 5, 2007 (19.542959110901 yrs)
- Last Updated
- Aug 15, 2013
- License
-
PA14029 (CA)
Practice Information
- Address
-
9024 SNIKTAW LNFORT JONES, CA, 960329408Browse CA providers · Browse ZIP 96032
- Phone
- 5304684470
- Fax
- 5304684478
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
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.