Individual
DR. MICHELLE H WOODARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
2410 HOG MOUNTAIN RD. STE. 303, WATKINSVILLE, GA 30677
(706) 705-6070
(706) 705-6070
Mailing address
2410 HOG MOUNTAIN ROAD STE. 303, WATKINSVILLE, GA 30677
(706) 705-6070
(706) 705-6075
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
061022
GA
207R00000X
Internal Medicine Physician
Primary
61022
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000039973
—
AL
01
—
0005905454
AETNA
—
01
—
110168051
RAILROAD MEDICARE
—
01
—
51039973
BLUE CROSS BLUE SHIELD
AL
Enumeration date
11/14/2005
Last updated
12/29/2015
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