Provider Demographics
NPI:1154829257
Name:GOODWIN, VALERIE MEGAN (PA)
Entity Type:Individual
Prefix:MS
First Name:VALERIE
Middle Name:MEGAN
Last Name:GOODWIN
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:10 OLD MONTGOMERY HWY
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-6737
Mailing Address - Country:US
Mailing Address - Phone:205-949-1900
Mailing Address - Fax:205-949-1919
Practice Address - Street 1:10 OLD MONTGOMERY HWY
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-6737
Practice Address - Country:US
Practice Address - Phone:205-949-1900
Practice Address - Fax:205-949-1919
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-24
Last Update Date:2020-05-05
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant