# JACQUELYN A GOING

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1265469969
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | 8384 | SC | Yes |

## Other

- **Enumeration date:** 06/27/2006
- **Last updated:** 09/25/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 083849 | — | SC |
| 01 | — | 20068859 | SELECT HEALTH | — |
| 01 | — | DC6996 | MEDICARE RAILROAD GROUP NUMBER | — |
| 01 | — | P00184835 | MEDICARE RAILROAD | — |
| 01 | — | PA1382 | MEDICAID GROUP NUMBER | — |