Individual
MR. RICHEY E. WOODS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1325 E FORTIFICATION ST, JACKSON, MS 39202-2442
(601) 354-4488
Mailing address
1397 LITTON RD, SHAW, MS 38773-9560
(662) 721-3349
(662) 754-2233
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0011
MS
Other
Enumeration date
08/03/2006
Last updated
07/08/2007
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