Goulas, Mark T

Goulas, Mark T is an individual health care provider with primary practice located at 23 Plantation Park Dr Ste 401 , Bluffton SC 29910-6094. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Goulas, Mark T can be contacted via phone (843) 815-5454.

Contact Information

Primary practice address
23 Plantation Park Dr Ste 401 Bluffton SC 29910-6094
Phone: (843) 815-5454
Fax: (843) 757-9665
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD26698 South Carolina

Profile Details

NPI number 1457449183
LBN Legal business name Goulas, Mark T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Oct 24th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457449183 NPPES
South Carolina Other 203414543 TAX ID
South Carolina MEDICAID 266982 TAX ID

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