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Individual

DR. GAIL KATHERINE GODWIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD, PMHNP-BC

Contact information

Practice address
2927 DEMERE RD, SAINT SIMONS IS, GA 31522-1620
(912) 638-1999
Mailing address
PO BOX 78, MILLEDGEVILLE, GA 31059-0078
(470) 522-9270

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN069333
GA

Other

Enumeration date
12/09/2019
Last updated
12/09/2019
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