Individual
DEANNA SHEPHERD WOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
415 WILLIE PACE RD, BURLINGTON, NC 27217-7533
(336) 260-0258
Mailing address
415 WILLIE PACE RD, BURLINGTON, NC 27217-7533
(336) 260-0258
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2272376
NC
Other
Enumeration date
06/19/2013
Last updated
06/19/2013
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