Individual
JOHN E GOLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
811 WEST MAIN STREET, STE 207, LEXINGTON, SC 29072
(803) 358-6420
(803) 358-6450
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9237
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080146147
RR MEDICARE
—
05
—
092376
—
SC
Enumeration date
08/02/2006
Last updated
10/29/2020
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