Individual
BRUCE E GOECKERITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
146 E HOSPITAL DR, STE 550, WEST COLUMBIA, SC 29169
(803) 936-7410
(803) 936-7412
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
TL31856
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G50371
—
SC
Enumeration date
08/30/2006
Last updated
12/08/2020
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