Individual provider · Type 1 NPI
David Dwight Goltra Jr., MD
Neuroradiology Physician · Mount Pleasant, SC
NPI number
1477640647
Active
Practice location
582 Lone Tree Drive, 582 Long Point Rd
Mount Pleasant, SC 29464
Fax (843) 971-8832
Mailing address
582 Lone Tree Drive, 582 Long Point Road
Florence, SC 29501-0523
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neuroradiology Physician Primary | 2085N0700X | 14764 (SC) |
Neuroradiology Physician: A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
Other neuroradiology physician providers in Mount Pleasant
About NPI 1477640647
David Dwight Goltra Jr., MD's National Provider Identifier is 1477640647, issued on Oct 6, 2006. The primary taxonomy on file is Neuroradiology Physician (2085N0700X), and the practice location is in Mount Pleasant, SC. The record was last updated on Oct 15, 2007.