| Christina Marie Goben, MD | |
|
701 Grove Road 6th Floor, Greenville, SC 29605-4255 | |
| (864) 455-7146 | |
| (864) 455-5380 |
| Full Name | Christina Marie Goben |
|---|---|
| Gender | Female |
| Speciality | Pediatrics - Pediatric Critical Care Medicine |
| Location | 701 Grove Road 6th Floor, Greenville, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710997796 | NPI | - | NPPES |
| 291856 | Medicaid | SC | |
| APPROVED | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 29185 (South Carolina) | Secondary |
| 2080P0203X | Pediatrics - Pediatric Critical Care Medicine | 29185 (South Carolina) | Primary |
| Entity Name | Prisma Health University Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238 |
| Entity Name | Greenville Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568532513 PECOS PAC ID: 8123938131 Enrollment ID: O20031212000723 |
| Mailing Address | Practice Location Address |
|---|---|
| Christina Marie Goben, MD 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 522-8603 | Christina Marie Goben, MD 701 Grove Road 6th Floor, Greenville, SC 29605-4255 Ph: (864) 455-7146 |
Angela Murray Young, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 20 Medical Ridge Dr, Greenville, SC 29605 Phone: 864-864-2207 Fax: 864-241-9211 | |
Dominic Bruno Gault, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 200 Patewood Dr, Ste A330, Greenville, SC 29615 Phone: 864-454-5660 Fax: 864-241-9233 | |
Dr. Cristina Espindula Fernandes, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 900 W Faris Rd, 2nd Floor, Greenville, SC 29605 Phone: 864-455-8898 Fax: 864-455-5164 | |
Mrs. Linda S Parker, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 131 Commonwealth Dr, Suite 310, Greenville, SC 29615 Phone: 864-288-5402 Fax: 864-234-7961 | |
Justin Brantley Holladay, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-7844 Fax: 864-455-7848 | |
Brittany Walker, Pediatrics Medicare: Medicare Enrolled Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-7895 | |
Philip Edward Manley Jr., M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 890 S Pleasantburg Dr, Greenville, SC 29607 Phone: 864-271-1450 Fax: 864-271-3914 |