Individual
GEORGE AUSTIN GODETTE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
108 MACTANLY PL, STAUNTON, VA 24401-2373
(540) 885-1281
(540) 213-2208
Mailing address
108 MACTANLY PL, STAUNTON, VA 24401-2373
(540) 885-1281
(540) 213-2208
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101049732
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006410057
—
VA
Enumeration date
04/19/2006
Last updated
07/09/2007
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