Individual
RANDALL GODETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
611 LINDSAY STREET, HIGH POINT, NC 27262
(336) 905-6018
Mailing address
601 N. ELM ST., PO BOX HP-5, HIGH POINT, NC 27261
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1230
NC
Other
Enumeration date
05/02/2016
Last updated
05/02/2016
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