Individual
BRENDAN GOLDUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
11221 GALLERIA AVE STE 101, RALEIGH, NC 27614-8137
(919) 562-9410
(919) 562-9425
Mailing address
PO BOX 1107, WAKE FOREST, NC 27588-1107
(919) 562-9410
(919) 562-9425
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-14215
NC
Other
Enumeration date
02/22/2023
Last updated
01/23/2025
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