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Individual

GEORGE WOODWARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
01070420A
IN
2084N0400X
Neurology Physician
Primary
51622
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100581780
KY
05
IN3977012
IN
Enumeration date
07/11/2006
Last updated
11/07/2023
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