Dr David Dwight Goltra Jr, MD | |
582 Lone Tree Drive, 582 Long Point Rd, Mt Pleasant, SC 29464 | |
(843) 352-0674 | |
(843) 971-8832 |
Full Name | Dr David Dwight Goltra Jr |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 39 Years |
Location | 582 Lone Tree Drive, Mt Pleasant, South Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477640647 | NPI | - | NPPES |
147647 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085N0700X | Radiology - Neuroradiology | 14764 (South Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Charleston Ent Associates, Llc | 4082662234 | 65 |
Augusta Orthopedic And Sports Medicine Specialists Pc | 8527052463 | 26 |
Entity Name | Charleston Ent Associates, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588607303 PECOS PAC ID: 4082662234 Enrollment ID: O20050105000267 |
Entity Name | Augusta Orthopedic & Sports Medicine Specialists Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952076382 PECOS PAC ID: 8527052463 Enrollment ID: O20070328000000 |
Entity Name | Carolina Imaging Specialists, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932404134 PECOS PAC ID: 9830375518 Enrollment ID: O20110513000216 |
Mailing Address | Practice Location Address |
---|---|
Dr David Dwight Goltra Jr, MD 582 Lone Tree Drive, 582 Long Point Road, Florence, SC 29501-0523 Ph: (843) 352-0674 | Dr David Dwight Goltra Jr, MD 582 Lone Tree Drive, 582 Long Point Rd, Mt Pleasant, SC 29464 Ph: (843) 352-0674 |
Mrs. Marilyn Roberts Hendrix, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 173 N Plaza Ct, Mt Pleasant, SC 29464 Phone: 843-881-4221 | |
Dr. John Bell Hood, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 284 S Plaza Ct, Mt Pleasant, SC 29464 Phone: 843-884-7667 Fax: 843-884-7386 | |
Dr. Lyndsay Alexandra Oancea, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2000 Hospital Dr, Mt Pleasant, SC 29464 Phone: 843-881-0100 Fax: 843-416-6805 | |
William Wayne Davenport, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 582 Island Walk E, Mt Pleasant, SC 29464 Phone: 501-815-4924 | |
John J Chomyn, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2000 Hospital Dr, Mt Pleasant, SC 29464 Phone: 843-792-1414 |