Doctor Name: | JERRY C WOODARD |
NPI Number: | 1932238169 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 16053 |
Business Practice Address: | 2605 Forest Hills Rd Sw Wilson, NC - 278934448 |
Business Phone Number: | 2522437977 |
Business Fax Number: | 2523990514 |
Mailing Address: | Po Box 7014, WILSON |
State: | NC |
Postal Code: | 278957014 |
Phone Number: | 2522437977 |
Fax Number: | 2523990514 |
NPI Enumeration Date: | 03/05/2007 |
NPI Last Update Date: | 03/04/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 16053 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |