Individual
MRS. SOPHIA MARIE GODINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, CPNP-PC
Contact information
Practice address
101 W MEDICAL PARK DR, LEXINGTON, NC 27292-6773
(336) 249-4911
Mailing address
2871 SAINT GEORGE RD, WINSTON SALEM, NC 27106-5028
(913) 952-2000
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
GODI-RVYT7
NC
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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