Individual
NAFISEH F. WOODARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
6135 SISSONVILLE DR, CHARLESTON, WV 25312-9444
(304) 984-1576
(304) 984-1565
Mailing address
PO BOX 70, DAWES, WV 25054-0070
(304) 734-2040
(304) 734-2047
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1851
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001712824
MS BCBS
WV
05
—
3810001136
—
WV
01
—
7382592
AETNA
WV
Enumeration date
01/24/2007
Last updated
05/21/2020
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