Individual
CHARLSIE COBB WOODARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
526 MOYE BLVD, GREENVILLE, NC 27834-2848
(252) 847-0052
(252) 847-2213
Mailing address
3915 STERLING POINTE DR UNIT JJ8, WINTERVILLE, NC 28590-9235
(252) 412-5594
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
111217
NC
363LF0000X
Family Nurse Practitioner
Primary
111217
NC
363LF0000X
Family Nurse Practitioner
235023
MT
363LF0000X
Family Nurse Practitioner
4911
MN
Other
Enumeration date
02/17/2010
Last updated
08/06/2024
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