Individual
CASSANDRA GOYAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8971
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
397043
OH
163W00000X
Registered Nurse
95087069
CA
363L00000X
Nurse Practitioner
95003964
CA
363LA2200X
Adult Health Nurse Practitioner
15274
OH
363LF0000X
Family Nurse Practitioner
Primary
21826
SC
Other
Enumeration date
09/02/2013
Last updated
10/02/2019
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