Individual
COURTANEY GODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5203 KNOXVILLE HWY, OLIVER SPRINGS, TN 37840-3611
(865) 242-2131
Mailing address
5203 KNOXVILLE HWY, OLIVER SPRINGS, TN 37840-3611
(865) 242-2131
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
58540
TN
Other
Enumeration date
08/11/2021
Last updated
08/11/2021
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