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NPI Code Detail

MEDICARE: BAILEY CHRISTINE GOGGIN RDN

MEDICARE: BAILEY CHRISTINE GOGGIN RDN
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
1133V00000XRegistered Dietitian1951SC

General Provider Information

NPI Number : 1396391009
Entity Type Code : Individual
Provider Name (Legal Business Name) : BAILEY CHRISTINE GOGGIN RDN
Provider Business Mailing Address
First Line : PO BOX 751461
Second Line :
City : CHARLOTTE
State : NC
Zip : 28275-1461
Country : US
Telephone Number : 843-792-6200
Fax Number :
Provider Business Practice Location Address
First Line : 2250 MALL DR
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29406-6563
Country : US
Telephone Number : 843-876-9200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2019
Last Update Date : 10/17/2019

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Directions to “ BAILEY CHRISTINE GOGGIN RDN” Practice Location

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