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Individual

COLEMAN WOODY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2803 MEDICAL CAMPUS DRIVE, SEYMOUR JOHNSON AFB, NC 27531
(919) 722-1802
Mailing address
2803 MEDICAL CAMPUS DRIVE, SEYMOUR JOHNSON AFB, NC 27531
(919) 722-1802

Taxonomy

Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
207Q00000X
Family Medicine Physician
Primary
84688-20
WI
208D00000X
General Practice Physician
Primary
84688-20
WI
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/28/2023
Last updated
07/24/2026
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