Godwin, Cristi L

Godwin, Cristi L is an individual health care provider with primary practice located at 1609 Norman Dr Ste A-1, Valdosta GA 31601-3753. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Godwin, Cristi L can be contacted via phone (229) 245-1004.

Contact Information

Primary practice address
1609 Norman Dr Ste A-1 Valdosta GA 31601-3753
Phone: (229) 245-1004
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN130256 Georgia

Profile Details

NPI number 1407824832
LBN Legal business name Godwin, Cristi L
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Jan 13th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407824832 NPPES
Georgia MEDICAID 978745311A
Georgia Other 1407824832
Georgia MEDICAID 305457800

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