Individual
MATTHEW SHAUN WOODRUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
POST OFFICE BOX 66038, MARINE AIRCRAFT GROUP 31, BEAUFORT, SC 29904-6038
(843) 228-6257
Mailing address
43 WHITE POND BLVD, BEAUFORT, SC 29902-3338
(210) 551-3162
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
09/17/2015
Last updated
09/17/2015
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