Basic Information
| Provider Information | |||||||||
| NPI: | 1922014372 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | GODFREY | ||||||||
| FirstName: | PETER | ||||||||
| MiddleName: | EDWARD | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 541 SUNSET LN | ||||||||
| Address2: | SUITE 301 | ||||||||
| City: | CULPEPER | ||||||||
| State: | VA | ||||||||
| PostalCode: | 227013979 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5408254557 | ||||||||
| FaxNumber: | 5408254566 | ||||||||
| Practice Location | |||||||||
| Address1: | 541 SUNSET LN | ||||||||
| Address2: | SUITE 301 | ||||||||
| City: | CULPEPER | ||||||||
| State: | VA | ||||||||
| PostalCode: | 227013979 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5408254557 | ||||||||
| FaxNumber: | 5408254566 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/31/2006 | ||||||||
| LastUpdateDate: | 01/28/2008 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | 0101035487 | VA | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.