Goedecke, Aimee

Goedecke, Aimee is an individual health care provider with primary practice located at 1243 Savannah Hwy , Charleston SC 29407-7817. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Goedecke, Aimee can be contacted via phone (843) 556-8110.

Contact Information

Primary practice address
1243 Savannah Hwy Charleston SC 29407-7817
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 22267 South Carolina

Profile Details

NPI number 1972567998
LBN Legal business name Goedecke, Aimee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Nov 18th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972567998 NPPES
South Carolina MEDICAID 222672

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