Healthcare Provider Details

I. General information

NPI: 1003734732
Provider Name (Legal Business Name): MELISSA LAUREN GODBEE BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 OLDE HICKORY CIR
BONAIRE GA
31005-3496
US

IV. Provider business mailing address

208 OLDE HICKORY CIR
BONAIRE GA
31005-3496
US

V. Phone/Fax

Practice location:
  • Phone: 478-997-1137
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberRN286565
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: