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Individual

COLTON SOUTHARD-GOEBEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
169 ASHLEY AVENUE ROOM 202 MAIN HOSPITAL, MSC333, CHARLESTON, SC 29425
(843) 792-1932
Mailing address
169 ASHLEY AVE RM 202, CHARLESTON, SC 29425-8905
(843) 792-1932

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MMD.92656
SC

Other

Enumeration date
03/28/2023
Last updated
07/23/2024
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