Goodear, Gregory C

Goodear, Gregory C is an individual health care provider with primary practice located at 2671 Elms Plantation Blvd , North Charleston SC 29406-9165. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Goodear, Gregory C can be contacted via phone (843) 797-6800.

Contact Information

Primary practice address
2671 Elms Plantation Blvd North Charleston SC 29406-9165
Fax: (843) 797-6825
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 28430 South Carolina

Profile Details

NPI number 1659473007
LBN Legal business name Goodear, Gregory C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2006
Last updated Mar 3rd, 2008 - about 16 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 1659473007 NPPES
South Carolina MEDICAID 284301

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