Individual
KATIE BRIDGET GODSALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
16201 BARNESVILLE ST, ZEBULON, GA 30295-3380
(770) 567-3323
Mailing address
643 MAIN ST, PALMETTO, GA 30268-1138
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
226610
GA
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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