Individual
PATRICK L GODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
609 PROFESSIONAL DR, ROXBORO, NC 27573
(336) 599-9257
(336) 599-1593
Mailing address
609 PROFESSIONAL DR, ROXBORO, NC 27573
(336) 599-9257
(336) 599-1593
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9501254
NC
208000000X
Pediatrics Physician
9501254
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891005R
—
NC
Enumeration date
03/28/2006
Last updated
02/22/2012
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