Mcgoldrick, Thomas

Mcgoldrick, Thomas is an individual health care provider with primary practice located at 3100 Kemble Ave , Brunswick GA 31520-4211. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant. Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant is his primary health care specialty. Mcgoldrick, Thomas can be contacted via phone (912) 466-7000.

Contact Information

Primary practice address
3100 Kemble Ave Brunswick GA 31520-4211
Phone: (912) 466-7000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 002040 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 002040 Georgia

Profile Details

NPI number 1801853478
LBN Legal business name Mcgoldrick, Thomas
Credentials PAA
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Apr 13th, 2011 - about 13 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 1801853478 NPPES
Georgia MEDICAID 100002742A

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