Individual
JEFFREY SAMUEL WOODARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
10420 PARK RD STE 300, CHARLOTTE, NC 28210-8502
(980) 237-4766
Mailing address
901 HARVARD PL, CHARLOTTE, NC 28207-1839
(980) 329-2051
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-10139
NC
Other
Enumeration date
05/11/2020
Last updated
09/23/2021
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