Individual
ADAM WOODRUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4802 E. JOHNSON AVE, JONESBORO, AR 72401
(870) 936-8210
(870) 934-3640
Mailing address
P.O. BOX 1960, JONESBORO, AR 72403-1960
(870) 936-8210
(870) 934-3640
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
E-5688
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180210001
—
AR
Enumeration date
04/12/2007
Last updated
01/27/2014
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