Individual
MR. CARLAS DEWAYNE WOODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
1826 VETERANS BLVD, G&EC SERVICE LINE BLDG 11A, DUBLIN, GA 31021-3620
(478) 272-1210
(478) 274-5514
Mailing address
101 SHADOW POND, DUBLIN, GA 31021-6416
(478) 296-1733
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA002043
GA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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