Goldberg, Renwick N

Goldberg, Renwick N is an individual health care provider with primary practice located at 8121 Rourk St , Myrtle Beach SC 29572-4128. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Goldberg, Renwick N can be contacted via phone (843) 692-5000.

Contact Information

Primary practice address
8121 Rourk St Myrtle Beach SC 29572-4128
Phone: (843) 692-5000
Fax: (843) 692-5015
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 12106 South Carolina
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 200100691 North Carolina

Profile Details

NPI number 1679566178
LBN Legal business name Goldberg, Renwick N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Jun 13th, 2012 - about 12 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 1679566178 NPPES
North Carolina MEDICAID 7905743
North Carolina MEDICAID 121068

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