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
- City
- Charleston Afb
- State
- South Carolina
- ZIP Code
- 29404-4704
- Phone
- (843) 963-6936
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Medical Technicians — Independent Duty Medical Technicians |
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