Godfrey, Charlie E.

Godfrey, Charlie E. is an individual health care provider with primary practice located at 206 S Patterson St , Valdosta GA 31601-5668. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Godfrey, Charlie E. can be contacted via phone (229) 333-5257.

Contact Information

Primary practice address
206 S Patterson St Valdosta GA 31601-5668
Phone: (229) 333-5257
Fax: (229) 333-7822
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN044631 Georgia

Profile Details

NPI number 1558427419
LBN Legal business name Godfrey, Charlie E.
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2006
Last updated Mar 2nd, 2017 - about 7 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 1558427419 NPPES
Georgia MEDICAID 000440184C
Georgia MEDICAID 00044018B
Georgia MEDICAID 000440184A

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