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Tanisha Godbolt
NPI 1740871755 · on the registry since 2021 · sole proprietor
Practice
- Address
- 9147 Moss Cove Ct
Charlotte, NC 28227 - Phone
- (832) 794-7264
Registry record
- Primary taxonomy
- 335E00000X
335E00000X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-05-19
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 North Carolina