Individual
MS. LAURA CHARLENE GODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2175 CHAMBLISS AVE NW, STE D, CLEVELAND, TN 37311-3842
(423) 472-1140
(423) 339-2242
Mailing address
131 SAUNDERSVILLE RD, SUITE 160, HENDERSONVILLE, TN 37075-8903
(615) 348-6231
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APN0000013203
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1507955
—
TN
Enumeration date
03/03/2008
Last updated
08/10/2015
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