Provider Demographics
NPI:1497708226
Name:GOODWIN, SARAH C (MD)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:C
Last Name:GOODWIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:C
Other - Last Name:KLINE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1380 LITTLE SORRELL DR
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-7372
Mailing Address - Country:US
Mailing Address - Phone:540-236-3680
Mailing Address - Fax:540-236-3695
Practice Address - Street 1:1380 LITTLE SORRELL DR
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-7372
Practice Address - Country:US
Practice Address - Phone:540-236-3680
Practice Address - Fax:540-236-3695
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2019-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0064264208000000X
VA0101260795208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics