1295711240 Jerry L Goddard, M.D.

Family Medicine Physician

Active

Basic Information

Full Name
Jerry L Goddard, M.D.
Gender
Male
Enumeration Date
December 21, 2005
Last Update
December 28, 2020

Practice Location

Address
305 W JACKSON ST
STE 200
CARBONDALE, IL 629011474
Phone
(618) 536-6621
Fax
(618) 453-1102

Mailing Address

Address
305 W JACKSON ST
STE 200
CARBONDALE, IL 629011474
Phone
(618) 536-6621
Fax
(618) 453-1102

Specialties & Taxonomies

Specialty Code Classification License State Primary
Sports Medicine (Family Medicine) Physician
Sports Medicine
 207QS0010X Family Medicine 036-054846 IL No
Family Medicine Physician
 207Q00000X Family Medicine 036-054846 IL Primary

Other Identifiers

Identifier Type State Issuer
036054846 05 IL N/A

Additional Practice Locations

2553 Ken Gray Blvd
West Frankfort, IL 628964174

Phone: (618) 932-3937

Fax: (618) 932-2734

Digital Endpoints

DIRECT

jgoddard15468@sih.direct-ci.com

DIRECT

jgoddard15468@sih.direct-ci.com

Frequently Asked Questions

What is Jerry L Goddard, M.D.'s NPI number?
Jerry L Goddard, M.D.'s NPI number is 1295711240.
Which doctor has NPI number 1295711240?
The doctor with NPI number 1295711240 is Jerry L Goddard, M.D..
What is Jerry L Goddard, M.D.'s practice address?
Jerry L Goddard, M.D.'s practice address is 305 W JACKSON ST, STE 200, CARBONDALE, IL, 629011474.
Which doctor practices at 305 W JACKSON ST, STE 200, CARBONDALE, IL, 629011474?
Jerry L Goddard, M.D. practices at 305 W JACKSON ST, STE 200, CARBONDALE, IL, 629011474.
What is Jerry L Goddard, M.D.'s phone number?
Jerry L Goddard, M.D.'s phone number is (618) 536-6621.
Who is (618) 536-6621?
(618) 536-6621 is the phone number for Jerry L Goddard, M.D..
What is Jerry L Goddard, M.D.'s specialty?
Jerry L Goddard, M.D.'s specialty is Family Medicine Physician.
What type of doctor is Jerry L Goddard, M.D.?
Jerry L Goddard, M.D. is a Family Medicine Physician.
Is Jerry L Goddard, M.D. a Family Medicine?
Yes, Jerry L Goddard, M.D. is a Family Medicine.
Is Jerry L Goddard, M.D. still practicing?
Yes, Jerry L Goddard, M.D. is currently practicing.
Is Jerry L Goddard, M.D. accepting new patients?
Jerry L Goddard, M.D. may be accepting new patients. Please call their office at (618) 536-6621 to inquire about availability.
Is NPI 1295711240 still active?
Yes, NPI 1295711240 is currently active.
Where does Jerry L Goddard, M.D. practice?
Jerry L Goddard, M.D. practices in CARBONDALE, IL.
Is Jerry L Goddard, M.D. a male or female doctor?
Jerry L Goddard, M.D. is a male doctor.