Individual
CHARLES E. GODWIN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
50 E HOSPITAL ST STE 6, MANNING, SC 29102-3149
(803) 433-3065
(803) 433-0135
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(803) 433-3065
(803) 433-0135
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
24861
SC
Other
Enumeration date
04/06/2021
Last updated
04/07/2021
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