Individual
DR. CHARLES GEORGE GOLDIZEN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
703 FAIRVIEW ST, FOUNTAIN INN, SC 29644-1541
(864) 601-9012
(864) 601-9013
Mailing address
PO BOX 1511, FOUNTAIN INN, SC 29644-1058
(864) 601-9012
(864) 601-9013
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3498
SC
Other
Enumeration date
01/13/2010
Last updated
01/13/2010
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