Individual
DR. JUSTIN MICHAEL WOODLIEF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
520 S EAGLE RD STE 3102, MERIDIAN, ID 83642-6352
(208) 706-5100
Mailing address
169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL, MSC 333, CHARLESTON, SC 29425-8905
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
LL35928
SC
Other
Enumeration date
06/14/2013
Last updated
12/20/2023
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