IndividualActive
Diangelo Godwin
NPI 1396692018 · Home Health Aide · Rex, GA
Provider details
- NPI number
- 1396692018
- Entity type
- Individual
- Primary specialty
- Home Health AideNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- No
- License
- PHCP044723 (GA)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
6947 Diamond Dr
Rex, GA 30273-2496
Phone: (404) 287-3493
Approximate (ZIP-level) locationGet directions
Mailing address
6947 Diamond Dr
Rex, GA 30273-2496
Registry dates
- Enumerated
- 2026-03-12
- Last updated
- 2026-03-12
- Certified
- 2026-03-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.