Individual
STARLETTE C GODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3655 MITCHELL ST, LORIS, SC 29569-2827
(843) 716-7520
Mailing address
3655 MITCHELL ST, LORIS, SC 29569-2827
(843) 716-7520
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2925
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400649
—
SC
Enumeration date
10/17/2006
Last updated
02/28/2008
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