Individual
KATRINA CALHOUN WOODARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
1825 MARTHA BERRY BLVD NW, ROME, GA 30165
(762) 235-1470
(706) 238-8081
Mailing address
221 TECHNOLOGY PKWY NW, ROME, GA 30165-1369
(762) 235-1000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN082783
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
633439532A
—
GA
Enumeration date
01/12/2007
Last updated
05/07/2020
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