Provider Demographics
NPI:1073594412
Name:GOLDSTEIN, BETH GOODRICH (MD)
Entity Type:Individual
Prefix:DR
First Name:BETH
Middle Name:GOODRICH
Last Name:GOLDSTEIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:BETH
Other - Middle Name:LYNN
Other - Last Name:GOODRICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2238 NELSON HWY
Mailing Address - Street 2:STE 100
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-8914
Mailing Address - Country:US
Mailing Address - Phone:919-407-1994
Mailing Address - Fax:919-401-1924
Practice Address - Street 1:2238 NELSON HWY
Practice Address - Street 2:STE 100
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517-8914
Practice Address - Country:US
Practice Address - Phone:919-407-1994
Practice Address - Fax:919-401-1924
Is Sole Proprietor?:No
Enumeration Date:2005-11-11
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC38771207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
38771OtherNC LIC
NC8936146Medicaid
NC8936146Medicaid
E48203Medicare UPIN
NC8936146Medicaid