Individual
ELISE MARSHALL GODLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2435 FOREST DR, COLUMBIA, SC 29204-2026
(803) 409-7170
Mailing address
PO BOX 23321, NEW YORK, NY 10087-4321
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
30099
SC
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/27/2024
Last updated
02/22/2026
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