Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PATRICK GLENN GOODMAN, MD
Active Sole ProprietorDR. PATRICK GLENN GOODMAN, MD is a Vascular Surgery healthcare provider located in TIFTON, Georgia. NPI 1639392558 is currently active in the NPPES registry. Verify at CMS.
Vascular Surgery · TIFTON, GA
Registration Details
- NPI Number
- 1639392558
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 10, 2007 (19.357183278866 yrs)
- Last Updated
- Apr 7, 2021
- License
-
59158 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
39 KENT RD STE 8TIFTON, GA, 317941697Browse GA providers · Browse ZIP 31794
- Phone
- 2293912910
- Fax
- 2293864770
- Primary Specialty
-
Vascular Surgery
208VP0000X
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.