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Individual

DR. JAMILA DANICE GOLDSMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
805 PAMPLICO HWY, FLORENCE, SC 29505-6047
(843) 674-2500
Mailing address
PO BOX 935722, ATLANTA, GA 31193-5722
(843) 792-6200

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101270365
VA
207P00000X
Emergency Medicine Physician
125-062547
IL
207P00000X
Emergency Medicine Physician
76558
GA
207P00000X
Emergency Medicine Physician
81907
SC
207P00000X
Emergency Medicine Physician
Primary
ME129079
FL
208600000X
Surgery Physician
4301101551
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
125-062547
STATE LICENSE INFORMATION
IL
01
4301101551
EDUCATIONAL LIMITED LICENSE
MI
01
5315056601
CONTROLLED SUBSTANCE LICENSE
MI
Enumeration date
07/08/2012
Last updated
03/15/2024
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