Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RONNIE LEE GODBOLT, IDMT
ActiveRONNIE LEE GODBOLT, IDMT is a Independent Duty Medical Technician healthcare provider located in CHARLESTON AFB, South Carolina. NPI 1104054659 is currently active in the NPPES registry. Verify at CMS.
Independent Duty Medical Technician · CHARLESTON AFB, SC
Registration Details
- NPI Number
- 1104054659
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 23, 2009 (17.105127448792 yrs)
- Last Updated
- Jun 23, 2009
Practice Information
- Address
-
204 W HILL BLVDCHARLESTON AFB, SC, 294044704Browse SC providers · Browse ZIP 29404
- Phone
- 8439636936
- Fax
- 8439636903
- Primary Specialty
-
Independent Duty Medical Technician
1710I1003X
Other Independent Duty Medical Technician Providers in CHARLESTON AFB, SC
| Name | Credential | NPI |
|---|---|---|
| MS. CRISTY JO PRESLAR | IDMT | 1720221013 |
| JENNIFER B CUTLIP | IDMT | 1477781045 |
| MS. PATRICIA L SILLS | IDMT | 1932339827 |
| MR. GEORGE JAMES ANTOLICK | IDMT | 1417188137 |
| BRETT RANDALL | IDMT | 1114261526 |
| MRS. KARINA CORTES | IDMT | 1356871032 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.