Individual
MS. CHRISTINA GODBOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2315 WILMA CT, MULLINS, SC 29574-5696
(843) 616-5638
Mailing address
2315 WILMA CT, MULLINS, SC 29574-5696
(843) 616-5638
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/03/2019
Last updated
11/22/2020
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