Dr MARY KATHLEEN CARNEY GODLEY is a female medical professional, specializing in Dermatology. She graduated in 1992 from Brown University Program In Medicine.
DERMATOLOGY PROFESSIONALS INC.
1672 S COUNTY TRL
SUITE 101
EAST GREENWICH
RI
028185099
Tel: 4018857546
| Npi | 1811977804 |
| Pac Id | 2860672664 |
| Professional Enrollment Id | I20110211000055 |
| Last Name | CARNEY GODLEY |
| First Name | MARY KATHLEEN |
| Middle Name | |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | BROWN UNIVERSITY PROGRAM IN MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | DERMATOLOGY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | DERMATOLOGY PROFESSIONALS INC. |
| Group Practice Pac Id | 9234283953 |
| Number Of Group Practice Members | 11 |
| Line 1 Street Address | 1672 S COUNTY TRL |
| Line 2 Street Address | SUITE 101 |
| Marker Of Address Line 2 Suppression | |
| City | EAST GREENWICH |
| State | RI |
| Zip Code | 028185099 |
| Phone Number | 4018857546 |
| Hospital Affiliation Ccn 1 | 410012 |
| Hospital Affiliation Lbn 1 | THE MIRIAM HOSPITAL |
| Hospital Affiliation Ccn 2 | 410008 |
| Hospital Affiliation Lbn 2 | SOUTH COUNTY HOSPITAL INC |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
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| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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