| Doctor Name: | HARRIET TILLINGHAST GOODRICH |
| NPI Number: | 1184679615 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA |
| License Number: | 101170 |
| Business Practice Address: | 82 Hwy 9 North Suite 2 Mill Spring, CA - 28756 |
| Business Phone Number: | 8288942016 |
| Business Fax Number: | 8288943023 |
| Mailing Address: | 40 Possum Trot Ln, COLUMBUS |
| State: | NC |
| Postal Code: | 287229790 |
| Phone Number: | 8283013318 |
| Fax Number: | |
| NPI Enumeration Date: | 05/23/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 101170 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |