Individual
STEPHANIE TERESE GODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5850 HIGHWAY 21, ATMORE, AL 36502-3006
(251) 368-6245
(251) 368-6248
Mailing address
391 ASHCRAFT LN, ATMORE, AL 36502-4225
(251) 253-1246
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-102454
AL
Other
Enumeration date
10/27/2020
Last updated
09/27/2022
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