Individual
REGAN WOODHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
1450 ROSS CLARK CIR STE 400, DOTHAN, AL 36301-4770
(334) 305-0400
Mailing address
1450 ROSS CLARK CIR STE 400, DOTHAN, AL 36301-4770
(334) 305-0400
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1-163019
AL
Other
Enumeration date
08/17/2020
Last updated
11/11/2022
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