Organization
TUSCALOOSA NEWBORN MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUILLERMO GODOY M.D. (PHYSICIAN OWNER)
(205) 333-4661
Entity
Organization
Contact information
Practice address
1820 RICE MINE RD NORTH, SUITE 200, TUSCALOOSA, AL 35406-3282
(205) 333-4661
(205) 333-4660
Mailing address
1820 RICE MINE RD NORTH, SUITE 200, TUSCALOOSA, AL 35406-3282
(205) 333-4661
(205) 333-4660
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
11231
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51080276
BLUE CROSS NUMBER
AL
Enumeration date
05/03/2007
Last updated
08/22/2020
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