Doctor Name: | LINDA A WOODSON |
NPI Number: | 1104947993 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | FCL079032 |
Business Practice Address: | 121 Squirrel Trail Reidsville, NC - 27320 |
Business Phone Number: | 3363492585 |
Business Fax Number: | 3363493174 |
Mailing Address: | 476 Nc Highway 87, REIDSVILLE |
State: | NC |
Postal Code: | 273209724 |
Phone Number: | 3363492585 |
Fax Number: | 3363493174 |
NPI Enumeration Date: | 04/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 376G00000X |
License Number: | FCL079032 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Nursing Service Related Providers |
Taxonomy Classification: | Nursing Home Administrator |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual, often licensed by the state, who is responsible for the management of a nursing home. |