Individual
KATINA WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1518 AIRPORT RD, HINESVILLE, GA 31313-9439
(912) 559-5536
Mailing address
1518 AIRPORT RD, HINESVILLE, GA 31313-9439
(912) 559-5536
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN081217
GA
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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