Individual
ROBERT COLEMAN GODBOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
6040 PUBLIC LANDING RD, SNOW HILL, MD 21863-2453
(410) 632-1100
Mailing address
6040 PUBLIC LANDING RD, SNOW HILL, MD 21863-2453
(410) 632-1100
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP50483
MD
Other
Enumeration date
02/02/2023
Last updated
02/02/2023
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