Individual
GEORGE WOODWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8727
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
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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