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Individual

JOHN JEFFREY GOELDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
8988 UNIVERSITY BLVD, SUITE 104, NORTH CHARLESTON, SC 29406-9183
(843) 764-3200
(843) 764-0220
Mailing address
8988 UNIVERSITY BLVD, SUITE 104, NORTH CHARLESTON, SC 29406-9183
(843) 764-3200
(843) 764-0220

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
991
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
CH0991
SC
Enumeration date
12/02/2005
Last updated
09/08/2008
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