Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DAVID DWIGHT GOLTRA JR., M.D.
ActiveDR. DAVID DWIGHT GOLTRA JR., M.D. is a Neuroradiology healthcare provider located in MT PLEASANT, South Carolina. NPI 1477640647 is currently active in the NPPES registry. Verify at CMS.
Neuroradiology · MT PLEASANT, SC
Registration Details
- NPI Number
- 1477640647
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 6, 2006 (19.881434930478 yrs)
- Last Updated
- Oct 15, 2007
- License
-
14764 (SC)
Practice Information
- Address
-
582 LONE TREE DRIVE582 LONG POINT RDMT PLEASANT, SC, 29464Browse SC providers · Browse ZIP 29464
- Phone
- 8433520674
- Fax
- 8439718832
- Primary Specialty
-
Neuroradiology
2085N0700X
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.