Individual
ROBBIE B. GODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2520 5TH ST N, COLUMBUS, MS 39705-2008
(662) 244-1000
Mailing address
PO BOX 7695, COLUMBUS, MS 39705-0026
(662) 328-2476
(662) 327-4605
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
20252
MS
2085R0202X
Diagnostic Radiology Physician
DO1865
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
620476822
VMG TAX ID
TN
Enumeration date
05/18/2007
Last updated
03/07/2023
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