Individual
EDWARD JOSEPH WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0010-01359
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515 05974
BLUE CROSS
—
05
—
51505974
—
AL
Enumeration date
12/27/2005
Last updated
05/31/2023
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