Individual
DR. JOHN JAY WOODMANSEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3935 THORNDALE DR, WINSTON-SALEM, NC 27106-3536
(336) 768-5992
Mailing address
3935 THORNDALE DR, WINSTON-SALEM, NC 27106-3536
(336) 768-5992
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
191
NC
Other
Enumeration date
06/29/2006
Last updated
07/08/2007
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