Godwin, Debra K

Godwin, Debra K is an individual health care provider with primary practice located at 3825 Cherokee St Nw , Kennesaw GA 30144-2085. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Godwin, Debra K can be contacted via phone (770) 422-1400.

Contact Information

Primary practice address
3825 Cherokee St Nw Kennesaw GA 30144-2085
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN059374 Georgia

Profile Details

NPI number 1780670786
LBN Legal business name Godwin, Debra K
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2005
Last updated Jul 8th, 2007 - about 17 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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