Individual
DAISY MELINDA KING-GODINEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4760 AUSTELL RD STE 1&3, AUSTELL, GA 30106-2007
(678) 464-4636
Mailing address
653 ROBERTS DR STE 84, RIVERDALE, GA 30274-2959
(678) 361-2100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN129544
GA
163WC0400X
Case Management Registered Nurse
RN129544
GA
163WD1100X
Peritoneal Dialysis Registered Nurse
RN129544
GA
163WG0000X
General Practice Registered Nurse
RN129544
GA
163WH0200X
Home Health Registered Nurse
RN129544
GA
163WH0500X
Hemodialysis Registered Nurse
RN129544
GA
163WN0300X
Nephrology Registered Nurse
RN129544
GA
163WP0000X
Pain Management Registered Nurse
RN129544
GA
363L00000X
Nurse Practitioner
RN129544
GA
363LF0000X
Family Nurse Practitioner
Primary
RN129544
GA
Other
Enumeration date
04/02/2024
Last updated
12/03/2025
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