SearchSouth Carolina374U00000X

Cassandra Godbolt

NPI 1023770195 · on the registry since 2021

Practice

Address
504 Rexton Ct
Columbia, SC 29229
Phone
(803) 528-5327

Registry record

Primary taxonomy
374U00000X
374U00000X
Also registered as
3747A0650X
3747A0650X
3747P1801X
376K00000X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-10-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina