Individual
MR. KEITH ANDERSON WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
1705 GARDNER DR, WILMINGTON, NC 28405-8873
(910) 343-5300
(910) 254-1352
Mailing address
109 IRIS WAY, HAMPSTEAD, NC 28443-3885
(336) 830-5496
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
5014532
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5014532
BOARD OF NURSING/MEDICAL BOARD
NC
Enumeration date
06/29/2021
Last updated
06/29/2021
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