| 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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