Individual
JAMES CORBITT WOODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4810 S CROATAN HWY, SUITE 270, NAGS HEAD, NC 27959-8508
(252) 441-1319
Mailing address
104 ALDER BRANCH RD, MANTEO, NC 27954-9008
(252) 473-5010
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7553
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
902J6
BLUE SHIELD PROVIDER NUMB
NC
Enumeration date
07/19/2006
Last updated
07/08/2007
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