Individual
JOSHUA GOEDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-6331
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2582
SC
363AM0700X
Medical Physician Assistant
TL2582
SC
Other
Enumeration date
07/05/2016
Last updated
01/12/2021
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