JEREMY GOOD, PA
Physician Assistant
Active
Individual
NPI: 1104196294
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 085004264 (IL) |
Frequently Asked Questions
NPI 1104196294 is the National Provider Identifier for JEREMY GOOD, PA, a Physician Assistant provider located in Champaign, IL. This NPI was enumerated on January 5, 2012.
JEREMY GOOD, PA practices at 3101 FIELDS SOUTH DR, Champaign, IL 61822.
Quick Facts
- NPI
- 1104196294
- Type
- Individual
- Enumerated
- Jan 5, 2012
- Last Updated
- Jan 15, 2025
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