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Jerry Goddard, M.D
NPI 1295711240 · on the registry since 2005
Practice
- Address
- 305 W Jackson St
Ste 200
Carbondale, IL 62901 - Phone
- (618) 536-6621
- Fax
- (618) 453-1102
- Organisation at this address
- Memorial Hospital
L. Neal Mccain, M.D, Ltd.
Siu Physicians & Surgeons, Inc.
Stokes Institute Of Urology, Llc
New Horizons Medical Associates, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 104
Additional practice sites
- 2553 Ken Gray Blvd, West Frankfort, IL
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Also registered as
- Sports Medicine (Family Medicine) Physician
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-12-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois