Individual
DR. LINCOLN ALEXANDER GODFREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
624 HOSPITAL DR, MOUNTAIN HOME, AR 72653-2955
(870) 501-1000
(870) 424-3089
Mailing address
860 HIGHWAY 62 E STE 10, MOUNTAIN HOME, AR 72653-3200
(870) 424-3181
(870) 424-3089
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
E-2845
AR
208M00000X
Hospitalist Physician
Primary
E2845
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143967003
—
AR
Enumeration date
05/12/2006
Last updated
03/07/2020
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