Individual
CHADWICK DEWAYNE GODFREY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 303-5600
Mailing address
403 20TH ST APT 38, GRETNA, LA 70053-5752
(318) 308-6693
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0106733163
LA
Other
Enumeration date
03/28/2024
Last updated
03/28/2024
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