Individual
MR. JAMES MATTHEW GODWIN IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
830 EZZARD CHARLES DR, CINCINNATI, OH 45214-2525
(513) 381-6672
Mailing address
508 ELBERON AVE, CINCINNATI, OH 45205-2302
(304) 952-1507
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
004433
OH
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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