Individual
COLEMAN WOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
340 BOATNER RD, EGLIN AFB, FL 32542-1391
(850) 883-8600
Mailing address
340 BOATNER RD, EGLIN AFB, FL 32542-1391
(850) 883-8600
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
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
11/07/2024
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