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Individual

JOHN WOODS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
815 S PINE ST, VIVIAN, LA 71082-3353
(318) 375-3235
(318) 375-5938
Mailing address
PO BOX 792, VIVIAN, LA 71082-0792
(318) 375-3235
(318) 375-5938

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
204108
LA
207Q00000X
Family Medicine Physician
204108
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1543675
LA
Enumeration date
04/14/2009
Last updated
09/08/2023
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