Individual
CARRI WOODGERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21 BIRGE DR, CHAUNCEY, OH 45719-1100
(740) 797-0064
Mailing address
PO BOX 40, CHAUNCEY, OH 45719-0040
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
09353
OH
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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