Individual
DR. AMANDA L GODSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1136 S ROANE ST, HARRIMAN, TN 37748-7446
(865) 712-3325
Mailing address
342 WESTWOOD DR, HARRIMAN, TN 37748-8126
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
42618
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42618
1124121827
—
Enumeration date
12/29/2020
Last updated
12/29/2020
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