Provider Demographics
NPI:1841421930
Name:GODCHARLES, JOSEPH WARREN
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:WARREN
Last Name:GODCHARLES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 RICEVILLE RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28805-2146
Mailing Address - Country:US
Mailing Address - Phone:828-299-3092
Mailing Address - Fax:828-299-0924
Practice Address - Street 1:2 RICEVILLE RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28805-2146
Practice Address - Country:US
Practice Address - Phone:828-299-3092
Practice Address - Fax:828-299-0924
Is Sole Proprietor?:No
Enumeration Date:2009-08-06
Last Update Date:2009-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12729183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist