Charlie E. Godfrey is a Family in Valdosta, Georgia. Charlie E. Godfrey practices all healthcare services and medical treatments related to Family. The NPI Number for Charlie E. Godfrey is 1558427419. The last update date is 2017-03-02.
Charlie E. Godfrey's current location address is 3707 Fern Bank Rd, Valdosta, Georgia. You can contact this provider via phone number 2295594189. The mailing address for Charlie E. Godfrey is 3707 Fern Bank Rd, Valdosta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charlie E. Godfrey |
|---|---|
| Address | 3707 Fern Bank Rd, Valdosta, Georgia |
| Phone Number | 2295594189 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | A.P.R.N. |
NPI Number Detail
| NPI Number | 1558427419 |
|---|---|
| Provider Enumeration Date | 2006-12-28 |
| Last Updated Date | 2017-03-02 |
Provider Mailing Address Detail
| Address | 3707 Fern Bank Rd |
|---|---|
| City | Valdosta |
| State | Georgia (GA) |
| Post Code | 316012754 |
| Phone Number | 2295594189 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | RN044631 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000440184C | GA | -- | |
| 00044018B | GA | -- | |
| 000440184A | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Charlie E. Godfrey by the Centers for Medicare & Medicaid Services?
The Charlie E. Godfrey has been issued the NPI (National Provider Identifier) 1558427419 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Charlie E. Godfrey?
The Charlie E. Godfrey is situated at 3707 Fern Bank Rd, in the city of Valdosta, state of GA, with the zip code 316012754.
What is Charlie E. Godfrey's specialized field of practice, and what is the corresponding taxonomy classification code?
The Charlie E. Godfrey's area of specialization is Family, and the corresponding taxonomy code that categorizes this field of practice is 363Lf0000X.
On what date was the 1558427419 assigned to Charlie E. Godfrey?
The Charlie E. Godfrey was issued its 1558427419 on 2006-12-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Charlie E. Godfrey's details last updated?
The information pertaining to the Charlie E. Godfrey, including its address, specialty, and other details, was most recently updated on 2017-03-02.