Individual
DR. SHERRIE CECILE GODBOLT
Active
Individual
DR. SHERRIE CECILE GODBOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
01048641A
IN
2084P0800X
Psychiatry Physician
Primary
036098066
IL
2084P0805X
Geriatric Psychiatry Physician
01048641A
IN
2084P0805X
Geriatric Psychiatry Physician
036098066
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01625468
BCBS PROVIDER ID
IL
05
—
036098066
—
IL
05
—
200197180
—
IN
Enumeration date
09/23/2006
Last updated
01/14/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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