Individual
ALFRED HERMAN WOODWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4402 SHIPYARD BLVD, WILMINGTON, NC 28403-6161
(910) 452-1400
(910) 332-1072
Mailing address
4402 SHIPYARD BLVD, WILMINGTON, NC 28403-6161
(910) 452-1400
(910) 332-1072
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17535
NC
208D00000X
General Practice Physician
17535
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-28863
UNITED HEALTHCARE
NC
01
—
89442
BCBS
NC
01
—
930040271
RAILROAD MEDICARE
NC
01
—
B4563
MEDCOST
NC
Enumeration date
06/14/2005
Last updated
11/16/2009
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