Individual
STEVEN JACK GOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
225 COLLINS CREEK RD, GREENVILLE, SC 29607-3730
(864) 230-4055
(864) 288-0306
Mailing address
PO BOX 26916, GREENVILLE, SC 29616-1916
(864) 230-4055
(864) 288-0306
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
8040
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DD6178
RR MEDICARE
—
Enumeration date
08/22/2006
Last updated
08/17/2009
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