Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CASEY LEE GOODMAN, IDC
ActiveMR. CASEY LEE GOODMAN, IDC is a Independent Duty Corpsman healthcare provider located in CHINA GROVE, North Carolina. NPI 1588916233 is currently active in the NPPES registry. Verify at CMS.
Independent Duty Corpsman · CHINA GROVE, NC
Registration Details
- NPI Number
- 1588916233
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 4, 2012 (13.822010449716 yrs)
- Last Updated
- Nov 16, 2022
- License
-
22874783 (NC)
Practice Information
- Address
-
255 FRY STCHINA GROVE, NC, 280236502Browse NC providers · Browse ZIP 28023
- Phone
- 7044906885
- Primary Specialty
-
Independent Duty Corpsman
1710I1002X
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.