Individual
MRS. ROXANNE WYNNE GODLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
111 HOSPITAL DR, TARBORO, NC 27886-2011
(252) 641-8286
Mailing address
111 HOSPITAL DR, TARBORO, NC 27886-2011
(252) 641-8286
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86004119
NC
133V00000X
Registered Dietitian
L004100
NC
Other
Enumeration date
02/19/2013
Last updated
10/16/2013
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