Individual
DR. CELSO GOICOECHEA BOLET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 FREEDOM WAY, AUGUSTA, GA 30904-6258
(706) 733-0188
Mailing address
112 HILL LAKE DR, LEXINGTON, SC 29072-9680
(803) 808-5667
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
30987
FL
Other
Enumeration date
09/01/2006
Last updated
07/08/2007
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