Charles George Goldizen II, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3498 Issued in SC

Practice address

703 Fairview St
Fountain Inn, SC 29644-1541

Phone

(864) 601-9012

Fax

(864) 601-9013

NPI assigned

Jan 13, 2010

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 13, 2010.

{
    "created_epoch": "1263340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263340800000",
    "number": "1407186406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1511",
            "city": "FOUNTAIN INN",
            "state": "SC",
            "postal_code": "296441058",
            "telephone_number": "864-601-9012",
            "fax_number": "864-601-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 FAIRVIEW ST",
            "city": "FOUNTAIN INN",
            "state": "SC",
            "postal_code": "296441541",
            "telephone_number": "864-601-9012",
            "fax_number": "864-601-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDIZEN",
        "first_name": "CHARLES",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-13",
        "last_updated": "2010-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Fountain Inn, SC
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.