Individual
DR. COREY WOODARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
803 S MAIN ST, GREENSBORO, GA 30642-1211
(706) 454-5114
(706) 454-5199
Mailing address
803 S MAIN ST, GREENSBORO, GA 30642-1211
(706) 454-5114
(706) 454-5199
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN014806
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003148592A
—
GA
01
—
DN014806
DENTAL LICENSE
GA
Enumeration date
07/01/2014
Last updated
02/12/2015
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