# TIMOTHY WILLIAM GODMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1013651884
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 156F00000X | Technician/Technologist | G355793887401 | MD | Yes |
| 246ZE0600X | Electroneurodiagnostic Specialist/Technologist | 10273842257 | MD | Yes |

## Other

- **Enumeration date:** 04/26/2022
- **Last updated:** 10/01/2026