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Organization
WOODHAM FAMILY MEDICAL, LLC
Active
Organization
WOODHAM FAMILY MEDICAL, LLC
Active
Other names
Natasha Woodham, ARNP, Nurse Practitioner Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATASHA CELEST WOODHAM APRN (OWNER/OPERATOR)
(850) 872-0774
Entity
Organization
Contact information
Practice address
1621 TENNESSEE AVE, LYNN HAVEN, FL 32444-3652
(850) 872-0774
Mailing address
5819 FRANK HOUGH RD, PANAMA CITY, FL 32404-3062
(850) 896-1285
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073930947
NPI
—
Enumeration date
07/24/2015
Last updated
03/12/2024
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