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Individual

CARLA Y WOODS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
581 NW 183RD ST, MIAMI GARDENS, FL 33169-4469
(305) 651-1690
(305) 279-4916
Mailing address
1 SISKIN PLZ, CHATTANOOGA, TN 37403-1306
(423) 634-4226
(423) 634-4222

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
004942
GA
363A00000X
Physician Assistant
PA0000001232
TN
363A00000X
Physician Assistant
Primary
PA9103000
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3663211
TN
01
4101780
BCBSTN
TN
Enumeration date
07/02/2006
Last updated
04/16/2020
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