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Individual

DR. CHARLES DONALD GODWIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2800 VILLAGE WAY, TRENT WOODS, NC 28562-7305
(252) 637-7300
(252) 637-1771
Mailing address
2800 VILLAGE WAY, TRENT WOODS, NC 28562-7305
(252) 637-3000
(252) 637-1771

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
33666
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
36034
BC BS
NC
05
8936034
NC
Enumeration date
02/14/2006
Last updated
03/11/2021
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