Organization
CAROLINA IMAGING SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID GOLTRA M.D. (PRESIDENT)
(843) 352-1141
Entity
Organization
Contact information
Practice address
582 LONE TREE DR, MOUNT PLEASANT, SC 29464-8170
(843) 352-1141
Mailing address
PO BOX 176, MOUNT PLEASANT, SC 29465-0176
(846) 352-1141
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
01/19/2011
Last updated
01/19/2011
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