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AMANDA LYNN GOODNO MD NPI 1124330139


NPI Information

NPI: 1124330139
Provider Name: AMANDA LYNN GOODNO, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
500 N 12TH ST
WEST COLUMBIA, SC
ZIP 29169
Phone: (803) 217-0415
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Amanda Lynn Goodno, MD is a pediatrics in West Columbia, SC. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Amanda Lynn Goodno, MD NPI is 1124330139. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

500 N 12TH ST
WEST COLUMBIA, SC
ZIP 29169-502
Phone: (803) 217-0415
Fax: (803) 939-1650

The enumeration date for this NPI number is 7/7/2010 and was last updated on 11/1/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics32741SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1327417MEDICAIDSOUTH CAROLINA
2SC15984350MEDICARE PINSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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