Individual
DR. ANTONYA WERNER GODBOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1321 OBERLIN RD STE A, RALEIGH, NC 27608-2052
(919) 828-4747
Mailing address
1004 ASKHAM DR, CARY, NC 27511-4737
(919) 460-5363
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9900844
NC
Other
Enumeration date
04/18/2022
Last updated
04/18/2022
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