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Organization

D JOHN GODEHN, JR., M.D., P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DONALD JOHN GODEHN JR. M.D. (PRESIDENT)
(828) 693-0275
Entity
Organization

Contact information

Practice address
506 PARK HILL CT, SUITE 1, HENDERSONVILLE, NC 28739-4265
(828) 693-0275
Mailing address
506 PARK HILL CT, SUITE 1, HENDERSONVILLE, NC 28739-4265
(828) 693-0275

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
21561
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8936058
NC
Enumeration date
03/22/2007
Last updated
09/26/2011
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