Individual
MARY WOODRUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
323 E MEADOW RD, EDEN, NC 27288-3427
(336) 623-8900
Mailing address
123 GLENRIDGE DR, EDEN, NC 27288-7942
(336) 623-2487
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
146681
NC
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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