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1467405845
MARK TODD GODENICK
SPARTANBURG, SC
NPI
1467405845
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: SC 14616)
Enumeration Date
2006-05-18
Last Update Date
2021-01-12
Business Address
MARK TODD GODENICK MD
853 N CHURCH ST SUITE 510
SPARTANBURG, SC 29303-3098
Phone number: 864-560-6193
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Mailing Address
MARK TODD GODENICK MD
PO BOX 743070
ATLANTA, GA 30374-3070
Phone number: 864-560-4304
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