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Individual

KIMBERLEY B GOH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4610 OLEANDER DRIVE, 101, MYRTLE BEACH, SC 29577
(843) 497-2227
(843) 449-9265
Mailing address
4610 OLEANDER DRIVE, 101, MYRTLE BEACH, SC 29577
(843) 497-2227
(843) 449-9265

Taxonomy

Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
15346
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
153461
SC
Enumeration date
09/28/2006
Last updated
11/12/2007
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