Individual
BONNIE A. WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
605 S ARCHUSA AVE, QUITMAN, MS 39355-2331
(601) 776-6925
(601) 776-7141
Mailing address
PO BOX 5208, MERIDIAN, MS 39302-5208
(601) 703-4282
(601) 703-4597
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R101430
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00126219
—
MS
01
—
430076088
RAILROAD MEDICARE
—
Enumeration date
11/15/2005
Last updated
11/09/2013
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