Goltra, David Dwight
Goltra, David Dwight is an individual health care provider with primary practice located at 582 Lone Tree Drive 582 Long Point Rd, Mt Pleasant SC 29464. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neuroradiology, which is considered as his primary health care specialty. Goltra, David Dwight can be contacted via phone (843) 352-0674.Contact Information
Primary practice address
582 Lone Tree Drive 582 Long Point Rd
Mt Pleasant SC 29464
Phone: (843) 352-0674
Fax: (843) 971-8832
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | 14764 | South Carolina |
Profile Details
| NPI number | 1477640647 |
|---|---|
| LBN Legal business name | Goltra, David Dwight |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 6th, 2006 |
| Last updated | Oct 15th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477640647 | NPPES |
| South Carolina | MEDICAID | 147647 |
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