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Shea Godwin Md Psc
Primary Care Clinic/Center in Cadiz, Kentucky
NPI 1881852317

Shea Godwin Md Psc is a Primary Care Clinic/Center based in Cadiz, KY and is specialized in Primary Care. Shea Godwin Md Psc practices in Cadiz, KY. The NPI Number for Shea Godwin Md Psc is 1881852317 and holds a License No. (Kentucky).

The current practice location address for Shea Godwin Md Psc is 250 Main St, Cadiz, KY and can be reached out via phone at 270-522-6963 and via fax at 270-522-7231.

Location: 250 Main St, Cadiz, KY, 42211-9153
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1881852317
Provider Name
Shea Godwin Md Psc
Credential
Provider Entity Type
Organization
Address
250 Main St, Cadiz, KY, 42211-9153
Phone Number
270-522-6963
Fax Number
270-522-7231
Provider Enumeration Date
05/31/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1538257910 01 KY PROVIDER NPI
1096567 01 KY USA MANAGED CARE ORGANIZATION
institution
Provider Business Practice Location Address Details
Address
250 Main St
City
Cadiz
State
Kentucky
Zip
42211-9153
Phone Number
270-522-6963
Fax Number
270-522-7231
person
Provider Business Mailing Address Details
Address
250 Main St
City
Cadiz
State
Kentucky
Zip
42211-9153
Phone Number
270-522-6963
Fax Number
270-522-7231
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
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Definition
Definition to come...
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