Individual
CHRISTOPHER J GODBOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 KEISLER DR, CARY, NC 27511-7069
(919) 781-9950
(919) 783-9950
Mailing address
400 KEISLER DR, CARY, NC 27511-7069
(919) 781-9950
(919) 783-9950
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
200300791
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
134PN
BCBSNC
NC
01
—
2300424
UHC
NC
01
—
3412942
CIGNA
—
05
—
89134PN
—
NC
01
—
C6678
MEDCOST
NC
Enumeration date
07/03/2006
Last updated
11/18/2009
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