THOMAS DALE GODFREY

GREENVILLE, SC
NPI1235543281
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: SC  18871)
Enumeration Date2014-06-18
Last Update Date2021-06-11
Business Address
THOMAS DALE GODFREY GNP
1005 GROVE RD
GREENVILLE, SC 29605-4630
Phone number: 864-455-6900
Mailing Address
THOMAS DALE GODFREY GNP
300 E MCBEE AVE FL 4
GREENVILLE, SC 29601-2842
Phone number: 864-522-8603