Individual
CRISTI L GODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1609 NORMAN DR, STE A-1, VALDOSTA, GA 31601-3753
(229) 245-1004
Mailing address
1609 NORMAN DR, STE A-1, VALDOSTA, GA 31601-3753
(229) 245-1004
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN130256
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407824832
NPI
—
05
—
305457800
—
FL
05
—
978745311A
—
GA
Enumeration date
03/10/2006
Last updated
01/13/2016
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