Individual
ANITA HOPKINS GODWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.C.
Contact information
Practice address
1875 REMOUNT RD, GASTONIA, NC 28054-7413
(704) 874-0600
(704) 865-4785
Mailing address
200 E 2ND AVE, GASTONIA, NC 28052-4358
(704) 874-1904
(704) 867-2134
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-01294
NC
363AM0700X
Medical Physician Assistant
Primary
0010-01294
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932366028
—
NC
Enumeration date
05/18/2008
Last updated
05/12/2014
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