Provider Demographics
NPI:1174500656
Name:GODOY, FRANCO B (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANCO
Middle Name:B
Last Name:GODOY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 W BUTLER AVE
Mailing Address - Street 2:
Mailing Address - City:SALUDA
Mailing Address - State:SC
Mailing Address - Zip Code:29138-1313
Mailing Address - Country:US
Mailing Address - Phone:864-445-2250
Mailing Address - Fax:877-870-2854
Practice Address - Street 1:501 W BUTLER AVE
Practice Address - Street 2:
Practice Address - City:SALUDA
Practice Address - State:SC
Practice Address - Zip Code:29138-1313
Practice Address - Country:US
Practice Address - Phone:864-445-2250
Practice Address - Fax:877-870-2854
Is Sole Proprietor?:No
Enumeration Date:2005-12-27
Last Update Date:2015-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCTL26073207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCI45631Medicare UPIN