Jonathon Godwin, Pllc | |
405 Churchill Downs Dr Aberdeen NC 28315-3655 | |
(910) 633-2919 | |
Not Available |
Full Name | Jonathon Godwin, Pllc |
---|---|
Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 405 Churchill Downs Dr, Aberdeen, North Carolina |
Authorized Official Name and Position | Jonathon Seth Godwin (OWNER) |
Authorized Official Contact | 9106332919 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jonathon Godwin, Pllc 405 Churchill Downs Dr Aberdeen NC 28315-3655 Ph: (910) 633-2919 | Jonathon Godwin, Pllc 405 Churchill Downs Dr Aberdeen NC 28315-3655 Ph: (910) 633-2919 |
NPI Number | 1558067041 |
---|---|
Provider Enumeration Date | 02/06/2023 |
Last Update Date | 02/06/2023 |
Certification Date | 02/06/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558067041 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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› Verified 9 days ago
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