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General NPI Number Information
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NPI Number | 1316470479
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Entity Type | Individual
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Provider Name | WILLIAM STRAWN GODFREY M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/06/2017
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Last Update Date | 05/10/2023
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Provider Practice Location Address
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Address Line | 1150 HAMMOND DR STE 400
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City | SANDY SPRINGS
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State | GA
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Zip | 30328-8617
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Country | US
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Telephone | 770-762-1786
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Fax |
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Provider Business Mailing Address
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Address Line | 75 FRANCIS ST
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City | BOSTON
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State | MA
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Zip | 02115-6110
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Country | US
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Telephone | 912-306-4595
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 291189
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | 94987
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License Number State | GA
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