Individual
RYAN MATTHEW WOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
881 USS JAMES MADISON RD BLDG 1028, KINGS BAY, GA 31547-2531
(912) 573-6589
Mailing address
881 USS JAMES MADISON RD BLDG 1028, KINGS BAY, GA 31547-2531
(912) 573-9726
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
01/02/2013
Last updated
02/25/2025
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