RONNIE GODBOLT, IDMT
Military Health Care Provider - Independent Duty Medical Technicians
Active
Individual
NPI: 1104054659
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Military Health Care Provider - Independent Duty Medical Technicians | 1710I1003X | Yes | - |
Frequently Asked Questions
NPI 1104054659 is the National Provider Identifier for RONNIE GODBOLT, IDMT, a Military Health Care Provider - Independent Duty Medical Technicians provider located in Charleston Afb, SC. This NPI was enumerated on June 23, 2009.
RONNIE GODBOLT, IDMT practices at 204 W HILL BLVD, Charleston Afb, SC 29404.
Quick Facts
- NPI
- 1104054659
- Type
- Individual
- Enumerated
- Jun 23, 2009
- Last Updated
- Jun 23, 2009
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