# DR. RODERIC L. WOODSON II M.D.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Georgia Renal Specialist
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376917062
- **Authorized official:** RODERIC L. WOODSON M.D. (PHYSICIAN)
- **Authorized official phone:** (404) 352-8522

## Contact information

- **Practice address:** 105 COLLIER RD NW STE 1000, ATLANTA, GA 30309-1730
- **Practice address phone:** (404) 352-8522
- **Mailing address:** 105 COLLIER RD NW STE 1000, ATLANTA, GA 30309-1730
- **Mailing address phone:** (404) 352-8522

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 7789 | GA | Yes |

## Other

- **Enumeration date:** 11/18/2015
- **Last updated:** 11/29/2015