Individual provider · Type 1 NPI
Thomas Dale Godfrey, GNP
Gerontology Nurse Practitioner · Greenville, SC
NPI number
1235543281
Active
Practice location
1005 Grove Rd
Greenville, SC 29605-4630
Fax (864) 255-5619
Mailing address
300 E Mcbee Ave Fl 4
Greenville, SC 29601-2842
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 18871 (SC) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1235543281
Thomas Dale Godfrey, GNP's National Provider Identifier is 1235543281, issued on Jun 18, 2014. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Greenville, SC. The record was last updated on Jun 11, 2021.