Organization
MID-CAROLINA OB/GYN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEON F. WOODRUFF JR. M.D. (CEO)
(919) 781-5510
Entity
Organization
Contact information
Practice address
4414 LAKE BOONE TRL, SUITE 300, RALEIGH, NC 27607-7513
(919) 781-5510
(919) 781-5053
Mailing address
4414 LAKE BOONE TRL, SUITE 300, RALEIGH, NC 27607-7513
(919) 781-5510
(919) 781-5053
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0161Y
BC/BS
NC
05
—
890161Y
—
NC
Enumeration date
03/28/2006
Last updated
08/22/2020
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