Individual
CANDACE GODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
885 DAWSONVILLE HWY STE 1140, GAINESVILLE, GA 30501-2642
(678) 943-8691
Mailing address
6397 LEE HWY, CHATTANOOGA, TN 37421-2564
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT003054
GA
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AT000113
LICENSE #
GA
Enumeration date
08/28/2006
Last updated
12/30/2021
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