Individual
WARDEN L WOODARD III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 S TRYON ST, SUITE 400, CHARLOTTE, NC 28203-4239
(704) 446-9046
(704) 446-9066
Mailing address
PO BOX 601643, CHARLOTTE, NC 28260-1643
(704) 446-9046
(704) 446-9066
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
26905
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114934619
—
NC
01
—
88964
BCBS
NC
05
—
8988964
—
NC
05
—
N26905
—
SC
Enumeration date
08/01/2006
Last updated
09/17/2014
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