Individual
SUSAN KAYE GODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.N.P.
Contact information
Practice address
207 MAIN ST, CLIFTON, TN 38425-5547
(931) 676-3121
(731) 925-2157
Mailing address
PO BOX 655, SAVANNAH, TN 38372-0655
(731) 925-2300
(731) 925-2157
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN7564
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3907880
—
TN
01
—
4138126
BCBS TN
TN
Enumeration date
06/01/2006
Last updated
05/11/2010
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