Individual
MACY GODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
740 S LIMESTONE, LEXINGTON, KY 40536-0001
(859) 257-1000
Mailing address
UK DIVISION OF DIGESTIVE DISEASES, 800 ROSE ST, MN 649, LEXINGTON, KY 40536-0298
(859) 323-4887
(859) 257-2605
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2141
KY
Other
Enumeration date
09/15/2016
Last updated
12/19/2017
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