Provider Demographics
NPI:1326120361
Name:GODWYN, MARGARET HELEN (RD CDE)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:HELEN
Last Name:GODWYN
Suffix:
Gender:F
Credentials:RD CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 E WASHINGTON BLVD
Mailing Address - Street 2:SUTTER COAST HOSPITAL
Mailing Address - City:CRESCENT CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95531-8359
Mailing Address - Country:US
Mailing Address - Phone:707-464-8511
Mailing Address - Fax:707-464-8947
Practice Address - Street 1:800 E WASHINGTON BLVD
Practice Address - Street 2:SUTTER COAST HOSPITAL
Practice Address - City:CRESCENT CITY
Practice Address - State:CA
Practice Address - Zip Code:95531-8359
Practice Address - Country:US
Practice Address - Phone:707-464-8511
Practice Address - Fax:707-464-8947
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAR399857133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered