| Doctor Name: | KYLE BRYANT WOODS |
| NPI Number: | 1104283464 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | RN212965 |
| Business Practice Address: | 2225 Us Highway 41 N Tifton, GA - 317942749 |
| Business Phone Number: | 2293914100 |
| Business Fax Number: | 2293914508 |
| Mailing Address: | 2225 Us Highway 41 N, TIFTON |
| State: | GA |
| Postal Code: | 317942749 |
| Phone Number: | 2293914100 |
| Fax Number: | 2293914508 |
| NPI Enumeration Date: | 01/18/2016 |
| NPI Last Update Date: | 01/18/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN212965 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |