Godwin, Patrick L
Godwin, Patrick L is an sole proprietor health care provider with primary practice located at 609 Professional Dr , Roxboro NC 27573. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Godwin, Patrick L can be contacted via phone (336) 599-9257.Contact Information
Primary practice address
609 Professional Dr
Roxboro NC 27573
Phone: (336) 599-9257
Fax: (336) 599-1593
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 9501254 | North Carolina |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 9501254 | North Carolina |
Profile Details
| NPI number | 1164483483 |
|---|---|
| LBN Legal business name | Godwin, Patrick L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 28th, 2006 |
| Last updated | Feb 22nd, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164483483 | NPPES |
| North Carolina | MEDICAID | 891005R |
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