Individual
DR. JARED NICHOLAS WOODWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
169 ASHLEY AVE RM 202, CHARLESTON, SC 29425-8905
(843) 792-7179
(843) 792-9319
Mailing address
169 ASHLEY AVE RM 202, CHARLESTON, SC 29425-8905
(843) 792-7179
(843) 792-9319
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
LL85819
SC
Other
Enumeration date
03/29/2021
Last updated
06/01/2022
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