Individual
JEFF GODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPA-C, APA
Contact information
Practice address
2817 REILLY RD, MCXC-COD CREDENTIALS, FORT BRAGG, NC 28310-7324
(910) 907-8922
Mailing address
2817 REILLY RD, MCXC-COD CREDENTIALS, FORT BRAGG, NC 28310-7324
(910) 907-8922
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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