| Kristopher Goddard | |
|
4320 Ball Camp Pike Knoxville TN 37921-3312 | |
| (865) 693-8772 | |
| (865) 219-2848 |
| Full Name | Kristopher Goddard |
|---|---|
| Speciality | Family Medicine |
| Location | 4320 Ball Camp Pike, Knoxville, Tennessee |
| Authorized Official Name and Position | Jayne M Montross (COO) |
| Authorized Official Contact | 8656938772 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristopher Goddard 4801 S University Dr Davie FL 33328-3839 Ph: (954) 634-4292 | Kristopher Goddard 4320 Ball Camp Pike Knoxville TN 37921-3312 Ph: (865) 693-8772 |
| NPI Number | 1629491295 |
|---|---|
| Provider Enumeration Date | 02/01/2014 |
| Last Update Date | 02/01/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629491295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DO0000002081 (Tennessee) | Primary |
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