Godfrey, Terry Anthony

Godfrey, Terry Anthony is an individual health care provider with primary practice located at 129 N Washington St , Sumter SC 29150. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Godfrey, Terry Anthony can be contacted via phone (803) 774-9680.

Contact Information

Primary practice address
129 N Washington St Sumter SC 29150
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 23192 South Carolina

Profile Details

NPI number 1003806266
LBN Legal business name Godfrey, Terry Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated Dec 6th, 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 1003806266 NPPES
South Carolina MEDICAID 231920

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