Individual
DEBRA K GODWIN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3825 CHEROKEE ST NW, KENNESAW, GA 30144-2085
(770) 422-1400
Mailing address
130 SOAPSTONE WAY, CANTON, GA 30115-6683
(770) 720-8686
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN059374
GA
Other
Enumeration date
09/25/2005
Last updated
07/08/2007
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