Individual
CARLIE GODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
835 MEDICAL CENTER DR, WEST POINT, MS 39773-9320
(662) 495-2300
Mailing address
835 MEDICAL CENTER DR, WEST POINT, MS 39773-9320
(662) 495-2300
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
R610453
MS
Other
Enumeration date
11/22/2006
Last updated
07/08/2007
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