Individual
DR. JAMES RANDALL WOODSON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
11 NORTHTOWN DR, SUITE 105, JACKSON, MS 39211-3699
(601) 988-6200
(601) 988-6203
Mailing address
11 NORTHTOWN DR, SUITE 105, JACKSON, MS 39211-3699
(601) 988-6200
(601) 988-6203
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3200-01
MS
Other
Enumeration date
06/04/2007
Last updated
07/08/2007
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