Most Relevant Information
Provider Data
| NPI Number: | 1003429176 |
| Provider Name: | ERIK GOODWIN |
| Entity Type: | Individual |
| Taxonomy Code: | 111N00000X |
| Specialty: | Chiropractor |
| License Number: | 1021 |
Most Important Dates
| Enumeration Date: | 08/28/2020 |
| Last Updated: | 08/28/2020 |
Provider Practice Location
1 GOODWIN DRIVE
PONTOTOC
MS
38863
Practice Location Phone/Fax
| Phone: | 6624895366 |
| Fax: | 6628422500 |
Provider Mailing Location
1 GOODWIN DRIVE
PONTOTOC
MS
38863
Provider Mailing Phone/Fax
| Phone: | 6624895366 |
| Fax: | 6628422500 |