Individual
CHARMAINE BLAKE WOODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
117 SOUTH MAIN STREET, DAYTON, OH 45422
(937) 225-4954
Mailing address
PO BOX 750966, DAYTON, OH 43475
(937) 439-0676
(937) 439-0976
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
043150
GA
208000000X
Pediatrics Physician
21793
AL
208000000X
Pediatrics Physician
Primary
35086564
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2597588
—
OH
Enumeration date
12/21/2006
Last updated
07/08/2007
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