GODLY JACK, MD
Internal Medicine - Interventional Cardiology
Active
Individual
NPI: 1114452588
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Internal Medicine - Cardiovascular Disease | 207RC0000X | No | 98756 (GA) |
| Internal Medicine - Interventional Cardiology | 207RI0011X | Yes | 98756 (GA) |
Frequently Asked Questions
NPI 1114452588 is the National Provider Identifier for GODLY JACK, MD, a Internal Medicine - Interventional Cardiology provider located in Cartersville, GA. This NPI was enumerated on April 24, 2017.
GODLY JACK, MD practices at 150 GENTILLY BLVD, Cartersville, GA 30120.
Quick Facts
- NPI
- 1114452588
- Type
- Individual
- Enumerated
- Apr 24, 2017
- Last Updated
- Jun 20, 2024
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