Individual
BRIAN WOODARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
545 ROSEWOOD TRL, GRAYSON, GA 30017-1261
(770) 861-6807
(770) 674-4578
Mailing address
545 ROSEWOOD TRL, GRAYSON, GA 30017-1261
(770) 861-6807
(770) 674-4578
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN050736
GA
Other
Enumeration date
07/24/2013
Last updated
07/24/2013
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