Goodroe, Randall Nix
Goodroe, Randall Nix is an individual health care provider with primary practice located at 920 Doug White Dr Ste 510 , Myrtle Beach SC 29572-4183. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Goodroe, Randall Nix can be contacted via phone (843) 497-7772.Contact Information
Primary practice address
920 Doug White Dr Ste 510
Myrtle Beach SC 29572-4183
Phone: (843) 497-7772
Fax: (843) 848-7530
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 23353 | South Carolina |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 23353 | South Carolina |
Profile Details
| NPI number | 1730271602 |
|---|---|
| LBN Legal business name | Goodroe, Randall Nix |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2006 |
| Last updated | Jan 26th, 2022 - about 2 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 | 1730271602 | NPPES |
| South Carolina | Other | 383781722 | PRACTICE TAX ID |
| South Carolina | MEDICAID | 233535 | PRACTICE TAX ID |
Popular Providers
-
Mulvihill, Daniel F
15611 Pomerado Rd Suite 580, Poway CA 92064-2437 -
Bayat, Hamed
1955 W Citracado Pkwy Suite 300, Escondido CA 92029-4113 -
Khouzam, Rami Nadim
920 Doug White Dr Ste 510 , Myrtle Beach SC 29572-4183 -
Hadstate, James Norman
920 Doug White Dr Ste 510 , Myrtle Beach SC 29572-4183 -
Karavan, Mark P
920 Doug White Dr Ste 510 , Myrtle Beach SC 29572-4183 -
Malloy, Walter N.
1101 Johnson Ave , Myrtle Beach SC 29577-1893 -
Bemis, Charles E.
1650 Huntingdon Pike Ste 352, Meadowbrook PA 19046-8009 -
Hicks, John R.
5046 Highway 17 Byp S Suite 100, Myrtle Beach SC 29588-4503