Individual
MRS. EVELEAN DAVIS WOODARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
112 AKINS LN, MANSON, NC 27553-9124
(252) 456-2128
Mailing address
112 AKINS LN, MANSON, NC 27553-9124
(252) 456-2128
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MHL-093-040
NC
Other
Enumeration date
11/20/2012
Last updated
11/20/2012
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