Organization
DRS. WOODALL, WILSON & MANLEY, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEE WOODALL M.D. (PARTNER, PHYSICIAN)
(770) 358-1961
Entity
Organization
Contact information
Practice address
101 HOUSTON ST, BARNESVILLE, GA 30204-1660
(770) 358-1961
Mailing address
101 HOUSTON ST, BARNESVILLE, GA 30204-1660
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
022917
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300031017A
—
GA
Enumeration date
02/20/2008
Last updated
02/20/2008
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