Individual
MRS. CHANETTA LASHAN WOODHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
207 HAVEN DR, DOTHAN, AL 36301-2919
(334) 793-3319
(334) 793-2291
Mailing address
1121 S BRANNON STAND RD, DOTHAN, AL 36305-7367
(334) 714-3302
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-098137
AL
Other
Enumeration date
06/30/2011
Last updated
12/04/2017
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