# JAY GODINES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Under Anesthesia
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831498559
- **Authorized official:** RAMIRO JAY GODINES MD (OWNER/MD)
- **Authorized official phone:** (803) 765-1838

## Contact information

- **Practice address:** 420 W WESMARK BLVD, SUMTER, SC 29150-1983
- **Practice address phone:** (803) 905-5590
- **Mailing address:** PO BOX 7332, COLUMBIA, SC 29202-7332

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 03/21/2011
- **Last updated:** 03/21/2011