Individual
WILL GODFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
22725 HIGHWAY 76 E, CLINTON, SC 29325-7527
(864) 833-9100
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6307
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2577
SC
Other
Enumeration date
07/13/2016
Last updated
02/22/2021
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