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Individual
WAYNE M WOODBURY
Active
Individual
WAYNE M WOODBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
042978
GA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
24642
TN
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
8397828-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000729385A
—
GA
05
—
000729385C
—
GA
05
—
000729385D
—
GA
01
—
01352928
AMERIGROUP
—
01
—
552387
WELLCARE MEDICAID & MEDICARE
GA
05
—
G42978
—
SC
01
—
P00795760
RR MEDICARE
GA
05
—
Q010272
—
TN
Enumeration date
10/20/2005
Last updated
10/02/2025
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