Individual
RAMIRO JAY GODINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3655 MITCHELL ST, LORIS, SC 29569-2827
(843) 716-7000
(706) 660-9390
Mailing address
PO BOX 2024, COLUMBIA, SC 29202-2024
(706) 660-8505
(706) 660-9390
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
16289
SC
207LP2900X
Pain Medicine (Anesthesiology) Physician
16289
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
162898
—
SC
05
—
GP2672
—
SC
Enumeration date
11/28/2005
Last updated
03/27/2024
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