Individual
ALEXANDER GODWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1060 DRAGON RD, OAKWOOD, VA 24631-9210
(866) 935-7350
Mailing address
PO BOX 451, KEEN MOUNTAIN, VA 24624-0451
(443) 640-5748
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
0203018071
VA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/07/2019
Last updated
04/07/2019
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