Individual
O. ADRIAN WOODRUFF JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, PC
Contact information
Practice address
480 HANCOCK ST, MADISON, GA 30650-1343
(706) 342-2155
(706) 343-1080
Mailing address
480 HANCOCK ST, MADISON, GA 30650-1343
(706) 342-2155
(706) 343-1080
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10070
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
285799A
—
GA
Enumeration date
08/20/2006
Last updated
09/15/2009
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