Individual
MARY WOODARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1482 LANEY WALKER BLVD, AUGUSTA, GA 30912-0003
(706) 760-4152
Mailing address
1482 LANEY WALKER BLVD, AUGUSTA, GA 30912-0003
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/14/2023
Last updated
09/14/2023
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