Individual
GENE GODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2102 W MAIN ST, SALEM, VA 24153-3129
(540) 375-0600
Mailing address
3716 CHESTERTON ST SW, ROANOKE, VA 24018-1804
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101-017397
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005602416
—
VA
Enumeration date
02/03/2006
Last updated
08/11/2011
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