Ronnie Lee Godbolt, IDMT

NPI #1104054659 in Charleston Afb, South Carolina

Provider Information

NPI Number
1104054659
Entity Type
Individual
Name
Ronnie Lee Godbolt, IDMT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Military Health Care Provider - Independent Duty Medical Technicians
Credential
IDMT
Enumeration Date
Jun 23, 2009
Last Updated
Jun 23, 2009

Practice Location

Address
204 W HILL BLVD
ZIP Code
29404-4704
Phone
(843) 963-6936

Specialties & Taxonomy Codes

Specialty
Military Health Care Provider - Independent Duty Medical TechniciansIndependent Duty Medical Technicians

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