JACOB GOATLEY

CHARLESTON, SC
NPI1235753518
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2081S0010X Physical Medicine & Rehabilitation, Sports Medicine
(Licence: OH  57.249415)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
(Licence: OH  57.249415)
Enumeration Date2020-06-03
Last Update Date2024-04-25
Business Address
Dr. JACOB GOATLEY MD
135 CANNON ST STE 405
CHARLESTON, SC 29425-3800
Phone number: 843-792-2575
Mailing Address
Dr. JACOB GOATLEY MD
169 ASHLEY AVE RM 202
CHARLESTON, SC 29425-8905
Phone number: 843-792-2575