Individual
JESSICA ELIZABETH WOODHAM
Active
Individual
JESSICA ELIZABETH WOODHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
T-4374
MS
207RG0100X
Gastroenterology Physician
Primary
3792
AL
207RG0100X
Gastroenterology Physician
T-4374
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/30/2021
Last updated
09/29/2024
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