Provider Demographics
NPI:1326030289
Name:GOLDSTEIN, FRANCIS P (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:P
Last Name:GOLDSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3555 HARDEN STREET EXT
Mailing Address - Street 2:15 MEDICAL PARK SUITE 300
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29203-6894
Mailing Address - Country:US
Mailing Address - Phone:803-545-5014
Mailing Address - Fax:803-255-3451
Practice Address - Street 1:1301 TAYLOR ST
Practice Address - Street 2:SUITE 8-A
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29201-2942
Practice Address - Country:US
Practice Address - Phone:803-799-1922
Practice Address - Fax:803-779-6729
Is Sole Proprietor?:No
Enumeration Date:2005-08-17
Last Update Date:2017-12-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC9813207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC098138Medicaid
SC110122553OtherRAILROAD MEDICARE
SCP00889614OtherMEDICARE RAILROAD
SC098138Medicaid
SCSC14537647Medicare PIN
SCC601619615Medicare PIN
SC110122553OtherRAILROAD MEDICARE