Organization
JOSEPH M WOODS IV, MD, LLC
Active
Parent organization
JOSEPH M WOODS IV, MD, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
JOSEPH M WOODS IV, MD, LLC
Authorized official
MRS. SHANNON DANANE LIVINGSTON (PRACTICE MANAGER)
(404) 292-4223
Entity
Organization
Contact information
Practice address
275 COLLIER RD NW, SUITE 200, ATLANTA, GA 30309-1709
(404) 292-4223
(404) 292-5576
Mailing address
275 COLLIER RD NW, SUITE 200, ATLANTA, GA 30309-1709
(404) 292-4223
(404) 292-5576
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
031531
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27942
BLUE CROSS BLUE SHIELD
—
Enumeration date
06/05/2015
Last updated
06/05/2015
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