Godwin, Brooks A

Godwin, Brooks A is an individual health care provider with primary practice located at 315 W Georgia Rd , Simpsonville SC 29681-2401. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Godwin, Brooks A can be contacted via phone (864) 963-3601.

Contact Information

Primary practice address
315 W Georgia Rd Simpsonville SC 29681-2401
Fax: (864) 963-2598
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3465 South Carolina

Profile Details

NPI number 1518941434
LBN Legal business name Godwin, Brooks A
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2005
Last updated Jul 8th, 2007 - about 18 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 1518941434 NPPES
Other 1363833 UNITED CONCORDIA INS

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