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Individual
CHARLES E. GODWIN III
Active
Individual
CHARLES E. GODWIN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
24861
SC
Other
Enumeration date
04/06/2021
Last updated
04/07/2021
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