Individual
TIMOTHY GERRARD WOODALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1563 HEALTHCARE DR, ROCK HILL, SC 29732
(803) 329-6030
(803) 329-6035
Mailing address
1563 HEALTHCARE DR, ROCK HILL, SC 29732
(803) 329-6030
(803) 329-6035
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
22243
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC3336
RAILROAD MEDICARE
SC
01
—
P00162061
RAILROAD MEDICARE PIN
SC
Enumeration date
12/13/2005
Last updated
02/19/2008
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