| Starlette C Godwin, | |
|
3655 Mitchell St, Loris, SC 29569-2827 | |
| (843) 716-7520 | |
| Not Available |
| Full Name | Starlette C Godwin |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 3655 Mitchell St, Loris, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477634483 | NPI | - | NPPES |
| 400649 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 2925 (South Carolina) | Primary |
| Entity Name | Mcleod Physician Associates Ii |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801990494 PECOS PAC ID: 8224031307 Enrollment ID: O20060926000568 |
| Entity Name | Mcleod Loris Seacoast Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265708119 PECOS PAC ID: 9133394398 Enrollment ID: O20120710000230 |
| Mailing Address | Practice Location Address |
|---|---|
| Starlette C Godwin, 3655 Mitchell St, Loris, SC 29569-2827 Ph: (843) 716-7520 | Starlette C Godwin, 3655 Mitchell St, Loris, SC 29569-2827 Ph: (843) 716-7520 |
Joann Hannah, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3655 Mitchell St, Loris, SC 29569 Phone: 843-716-7537 Fax: 843-716-7460 | |
Carmen Esper, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3655 Mitchell St, Loris, SC 29569 Phone: 843-716-7000 Fax: 843-716-7093 | |
Kyron L Cain, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3655 Mitchell St, Box 690001, Loris, SC 29569 Phone: 843-716-7000 Fax: 843-716-7093 | |
Heather Snyder, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3365 Mitchell Street, Loris, SC 29569 Phone: 843-716-7596 | |
Lori Ashli Daniels, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3655 Mitchell St, Loris, SC 29569 Phone: 843-716-7000 Fax: 843-716-7093 | |
Carla B Hamilton, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3655 Mitchell St., Loris, SC 29569 Phone: 843-716-7000 Fax: 843-716-7093 |