Individual
THOMAS MCGOLDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAA
Contact information
Practice address
3100 KEMBLE AVE, BRUNSWICK, GA 31520-4211
(912) 466-7000
Mailing address
PO BOX 235019, MONTGOMERY, AL 36123-5019
(334) 279-1450
(334) 279-1660
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
002040
GA
367H00000X
Anesthesiologist Assistant
Primary
002040
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100002742A
—
GA
Enumeration date
04/27/2006
Last updated
04/13/2011
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