Individual
MR. BRANDON GRANT GODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
2700 WAYNE MEMORIAL DR, GOLDSBORO, NC 27534-9494
(919) 731-6934
Mailing address
2700 WAYNE MEMORIAL DR, GOLDSBORO, NC 27534-9494
(919) 731-6934
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5013515
NC
Other
Enumeration date
09/08/2020
Last updated
12/02/2022
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