Individual
DR. JESS GILLIAM GODFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
501 DOUGLAS ST, DURHAM, NC 27705-3888
(919) 684-1997
Mailing address
4809 CARLTON CROSSING DR, DURHAM, NC 27713-6505
(336) 416-5253
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P15618
NC
Other
Enumeration date
04/20/2022
Last updated
05/05/2022
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