Individual
AIMEE GOEDECKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1243 SAVANNAH HWY, CHARLESTON, SC 29407-7817
(843) 556-8110
Mailing address
1243 SAVANNAH HWY, CHARLESTON, SC 29407-7817
(843) 556-8110
(843) 556-8112
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
22267
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
222672
—
SC
Enumeration date
04/14/2006
Last updated
11/18/2011
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