Organization
WOODWORTH FAMILY MEDICINE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA R. DAVISON (OFFICE MANAGER)
(318) 484-9588
Entity
Organization
Contact information
Practice address
9372 HWY. 165 S., WOODWORTH, LA 71485
(318) 484-9588
(318) 484-9590
Mailing address
PO BOX 406, WOODWORTH, LA 71485-0406
(318) 484-9588
(318) 484-9590
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/30/2006
Last updated
10/11/2007
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