Organization
MICHELLE WOODARD M.D LLC
Active
Other names
MDMDS1992LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MELISSA BARNEY (PRACTICE MANAGER)
(706) 705-6070
Entity
Organization
Contact information
Practice address
2410 HOG MOUNTAIN RD STE 303, WATKINSVILLE, GA 30677-4850
(706) 705-6070
(706) 705-6075
Mailing address
2410 HOG MOUNTAIN RD STE 303, WATKINSVILLE, GA 30677-4850
(706) 705-6070
(706) 705-6075
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
061022
GA
Other
Enumeration date
12/10/2015
Last updated
12/10/2015
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