Individual
DR. JAMES ROBERT WOODALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
505 GEORGIAN DR, STE A, MOBILE, AL 36609
(251) 342-1644
(251) 342-1648
Mailing address
505 GEORGIAN DR, STE A, MOBILE, AL 36609
(251) 342-1644
(251) 342-1648
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
2891
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
196246
UCCI
AL
01
—
515-18112
BCBS OF AL
AL
Enumeration date
09/27/2006
Last updated
07/08/2007
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