DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JACOB GOATLEY, MD

Active

DR. JACOB GOATLEY, MD is a Sports Medicine (PM&R) healthcare provider located in CHARLESTON, South Carolina. NPI 1235753518 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine (PM&R) · CHARLESTON, SC

Registration Details

NPI Number
1235753518
Provider Type
Individual
Gender
Male
NPI Issued
Jun 3, 2020 (6.2339667284431 yrs)
Last Updated
Apr 25, 2024
Licenses
57.249415 (OH)
57.249415 (OH)

Practice Information

Address
135 CANNON ST STE 405
CHARLESTON, SC, 294253800
Browse SC providers · Browse ZIP 29425
Phone
8437922575
Primary Specialty
Sports Medicine (PM&R)
2081S0010X
Additional Specialty
Sports Medicine (PM&R)

Other Sports Medicine (PM&R) Providers in CHARLESTON, SC

Name Credential NPI
JAMES GARDNER 1528621174
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.