| Doctor Name: | ALFRED HERMAN WOODWORTH |
| NPI Number: | 1174528558 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 17535 |
| Business Practice Address: | 4402 Shipyard Blvd Wilmington, NC - 284036161 |
| Business Phone Number: | 9104521400 |
| Business Fax Number: | 9103321072 |
| Mailing Address: | 4402 Shipyard Blvd, WILMINGTON |
| State: | NC |
| Postal Code: | 284036161 |
| Phone Number: | 9104521400 |
| Fax Number: | 9103321072 |
| NPI Enumeration Date: | 06/14/2005 |
| NPI Last Update Date: | 11/16/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 17535 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |