Individual
DR. CHARLES R WOODARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2100 ERWIN RD, DURHAM, NC 27705-3941
(919) 684-8111
Mailing address
5213 S ALSTON AVE, DURHAM, NC 27713-4430
(919) 684-8111
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
2011-00350
NC
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
A111984
CA
Other
Enumeration date
05/14/2007
Last updated
07/28/2011
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