Individual
MR. THOMAS CRANDALL WOODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1704 HERITAGE WAY, STONE MOUNTAIN, GA 30087-1800
(678) 508-0508
Mailing address
1704 HERITAGE WAY, STONE MOUNTAIN, GA 30087-1800
(678) 508-0508
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT000063
GA
Other
Enumeration date
04/10/2006
Last updated
06/12/2013
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