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Individual

DR. WILLIAM JOHN WOODALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD, MPH

Contact information

Practice address
1120 15TH ST BI 3088, AUGUSTA, GA 30912
(706) 721-0335
Mailing address
864 SPARKLEBERRY RD, EVANS, GA 30809
(714) 317-8244

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
15214
GA

Other

Enumeration date
06/26/2023
Last updated
06/26/2023
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