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Organization
ADVANTAGE INTEGRATED MEDICAL
Active
Organization
ADVANTAGE INTEGRATED MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID GOOLDY DC (AUTHORIZED OFFICIAL)
(803) 462-5440
Entity
Organization
Contact information
Practice address
1926 S LAKE DR, LEXINGTON, SC 29073-8282
(803) 462-5440
Mailing address
1926 S LAKE DR, LEXINGTON, SC 29073-8282
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
01/20/2022
Last updated
01/20/2022
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