Individual
BETHEL U GODWINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1136 CLEVELAND AVE STE 615, EAST POINT, GA 30344-3618
(404) 254-5388
(404) 565-1255
Mailing address
4945 BAKER PLANTATION WAY, ACWORTH, GA 30101-6218
(404) 246-8505
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RM186487
GA
Other
Enumeration date
11/18/2017
Last updated
11/18/2017
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