Individual
IVY LANCASTER GODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
172 MJ TAYLOR RD, ADEL, GA 31620-3497
(229) 896-8500
Mailing address
PO BOX 2650, TIFTON, GA 31793-2650
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP222783
GA
Other
Enumeration date
10/05/2022
Last updated
10/10/2025
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