Godbolt, Melissa

Godbolt, Melissa is an individual health care provider with primary practice located at 1123 Sandy Bluff Rd , Mullins SC 29574-4215. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor, which is considered as her primary health care specialty. Godbolt, Melissa can be contacted via phone (843) 464-3760.

Contact Information

Primary practice address
1123 Sandy Bluff Rd Mullins SC 29574-4215
Phone: (843) 464-3760
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor 225C00000X

Profile Details

NPI number 1639649791
LBN Legal business name Godbolt, Melissa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 3rd, 2018
Last updated Dec 3rd, 2018 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639649791 NPPES
South Carolina MEDICAID 45-5423078

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