Individual
MR. GREGORY MICHAEL WOODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(919) 953-8351
(757) 953-8286
Mailing address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-8296
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110001923
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346211307
—
VA
Enumeration date
01/30/2006
Last updated
09/22/2022
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