Provider Demographics
NPI:1760508311
Name:GOODSON, WILLIAM HAMMACK III (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:HAMMACK
Last Name:GOODSON
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:2100 WEBSTER STREET
Mailing Address - Street 2:#401
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-2378
Mailing Address - Country:US
Mailing Address - Phone:415-923-3925
Mailing Address - Fax:415-776-1977
Practice Address - Street 1:2100 WEBSTER STREET
Practice Address - Street 2:#401
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-2378
Practice Address - Country:US
Practice Address - Phone:415-923-3925
Practice Address - Fax:415-776-1977
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAG28869208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
A43891Medicare UPIN