Organization
UNITED STATES AIR FORCE
Active
Other names
437 Medical Group / CAFB
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONNIE LEE GODBOLT (INDEPENDENT DUTY MEDICAL TECHNICIAN)
(843) 963-6936
Entity
Organization
Contact information
Practice address
204 W HILL BLVD, CHARLESTON AFB, SC 29404-4704
(843) 963-6936
(843) 963-6903
Mailing address
204 W HILL BLVD, CHARLESTON AFB, SC 29404-4704
(843) 963-6936
(843) 963-6903
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/22/2009
Last updated
06/22/2009
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