Individual
CHANDRA GODFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2122 MANCHESTER EXPY, COLUMBUS, GA 31904-6878
(706) 320-2773
(706) 596-4226
Mailing address
PO BOX 8147, COLUMBUS, GA 31908-8147
(706) 320-2773
(706) 596-4226
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN155713
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003137513A
—
GA
05
—
152387
—
GA
Enumeration date
04/20/2009
Last updated
07/30/2015
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