Individual
THADDEUS W. GOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
906 MEDICAL CIR, MYRTLE BEACH, SC 29572-4114
(843) 497-5929
(843) 839-1037
Mailing address
PO BOX 3439, NORTH MYRTLE BEACH, SC 29582-0439
(843) 839-4447
(843) 399-0123
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
24030
SC
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
24030
SC
207RP1001X
Pulmonary Disease Physician
Primary
24030
SC
207RS0012X
Sleep Medicine (Internal Medicine) Physician
24030
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T83433
—
SC
Enumeration date
06/24/2005
Last updated
08/06/2025
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