Individual
DAVID RANDALL GOETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
105 DOCTORS DR, GREENVILLE, SC 29605-5608
(864) 797-7060
(864) 797-7077
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6044
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
10201
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102016
—
SC
01
—
P00817224
RR MEDICARE
SC
Enumeration date
05/05/2006
Last updated
04/19/2013
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