Organization
MELANIE D GODFREY DC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELANIE DAWN GODFREY DC (PRESIDENT)
(318) 281-3911
Entity
Organization
Contact information
Practice address
634 EAST JEFFERSON AVE, BASTROP, LA 71220-4619
(318) 281-3911
(318) 281-3690
Mailing address
634 EAST JEFFERSON AVE, BASTROP, LA 71220-4619
(318) 281-3911
(318) 281-3690
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1396
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1712485
—
LA
01
—
4396585240
BLUE CROSS
LA
01
—
83816
BLUE CROSS
AR
Enumeration date
03/20/2007
Last updated
08/22/2020
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