Individual
DANIEL MORSE WOODLIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE DIVISION OF GENERAL INTERNAL MED, JACKSON, MS 39216-4620
(601) 984-5660
(601) 984-6870
Mailing address
2500 NORTH STATE STREET, GENERAL INTERNAL MEDICINE, JACKSON, MS 39225-4146
(601) 984-5660
(601) 984-6870
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
08450
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00011097
—
MS
01
—
110029884
RAILROAD MEDICARE
MS
Enumeration date
08/02/2006
Last updated
06/11/2014
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