Individual
GILBERT GOLIATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4607 MACCORKLE AVE SW STE 400, SOUTH CHARLESTON, WV 25309-1364
(304) 766-3988
(304) 766-3984
Mailing address
1827 DEVONDALE CIR, CHARLESTON, WV 25314-2205
(304) 345-4326
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
15811
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0106975000
—
WV
Enumeration date
06/21/2005
Last updated
07/22/2020
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