Mcgoldrick, Thomas
Mcgoldrick, Thomas is an individual health care provider with primary practice located at 3100 Kemble Ave , Brunswick GA 31520-4211. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant. Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant is his primary health care specialty. Mcgoldrick, Thomas can be contacted via phone (912) 466-7000.Contact Information
Primary practice address
3100 Kemble Ave
Brunswick GA 31520-4211
Phone: (912) 466-7000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 002040 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant | 367H00000X | 002040 | Georgia |
Profile Details
| NPI number | 1801853478 |
|---|---|
| LBN Legal business name | Mcgoldrick, Thomas |
| Credentials | PAA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 27th, 2006 |
| Last updated | Apr 13th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801853478 | NPPES |
| Georgia | MEDICAID | 100002742A |
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