| Godwin Family Practice | |
|
250 Main St Suite E Cadiz KY 42211-9153 | |
| (270) 522-6963 | |
| (270) 522-7231 |
| Full Name | Godwin Family Practice |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 250 Main St, Cadiz, Kentucky |
| Authorized Official Name and Position | Shea A Godwin (OWNER) |
| Authorized Official Contact | 2705226963 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Godwin Family Practice 250 Main St Suite E Cadiz KY 42211-9153 Ph: (270) 522-6963 | Godwin Family Practice 250 Main St Suite E Cadiz KY 42211-9153 Ph: (270) 522-6963 |
| NPI Number | 1881852317 |
|---|---|
| Provider Enumeration Date | 05/31/2008 |
| Last Update Date | 08/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881852317 | NPI | - | NPPES |
| 1538257910 | Other | KY | PROVIDER NPI |
| 1096567 | Other | KY | USA MANAGED CARE ORGANIZATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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