MEDICARE: DR. FRANCIS P. GOLDSTEIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	9813	SC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	110122553	OTHER	SC	RAILROAD MEDICARE
3	P00889614	OTHER	SC	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326030289
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANCIS P. GOLDSTEIN MD

Provider Business Mailing Address
First Line	:	3555 HARDEN STREET EXT
Second Line	:	15 MEDICAL PARK SUITE 300
City	:	COLUMBIA
State	:	SC
Zip	:	29203-6894
Country	:	US
Telephone Number	:	803-545-5014
Fax Number	:	803-255-3451

Provider Business Practice Location Address
First Line	:	1301 TAYLOR ST
Second Line	:	SUITE 8-A
City	:	COLUMBIA
State	:	SC
Zip	:	29201-2942
Country	:	US
Telephone Number	:	803-799-1922
Fax Number	:	803-779-6729

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2005
Last Update Date	:	12/16/2017

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Directions to “ DR. FRANCIS P. GOLDSTEIN MD” Practice Location

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