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Individual

DR. MELANIE DAWN GODFREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
9820 EVANSTON ST, DAPHNE, AL 36526-6362
(318) 235-4816
Mailing address
9820 EVANSTON ST, DAPHNE, AL 36526-6362
(318) 235-4816

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
006971
IA
111N00000X
Chiropractor
1396
LA
111N00000X
Chiropractor
Primary
2530
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1712485
LA
01
83816
BLUE CROSS
AR
Enumeration date
01/26/2007
Last updated
02/19/2019
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