Individual
WILLIAM BRYANT GODFREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
42 DEREK DR, COLUMBUS, MS 39702-7795
(662) 570-5912
Mailing address
42 DEREK DR, COLUMBUS, MS 39702-7795
(662) 570-5912
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
923384
MS
Other
Enumeration date
04/21/2026
Last updated
04/21/2026
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