Individual
RENWICK N GOLDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8121 ROURK ST, MYRTLE BEACH, SC 29572-4128
(843) 692-5000
(843) 692-5015
Mailing address
8121 ROURK ST, MYRTLE BEACH, SC 29572-4128
(843) 692-5000
(843) 692-5015
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
12106
SC
207RH0003X
Hematology & Oncology Physician
200100691
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121068
—
SC
05
—
7905743
—
NC
Enumeration date
08/30/2005
Last updated
06/13/2012
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