Individual
MS. TERESA MERCER GODFREY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
WEEKSVILLE ROAD, BUILDING 128 U.S. COAST GUARD SUPPORT CENTER, ELIZABETH CITY, NC 27909
(252) 335-6605
(252) 334-5420
Mailing address
COMDT (CG-1122), U.S. COAST GUARD, 2100 2ND STREET SW, SUITE 5314, WASHINGTON, DC 20593-0001
(252) 335-6605
(252) 334-5420
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
068797
NC
Other
Enumeration date
12/23/2005
Last updated
07/08/2007
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