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Individual

PAUL RICHARD WOODARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-5645
Mailing address
PO BOX 18139, RALEIGH, NC 27619-8139

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
24625
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
132C9
BCBS NC
NC
01
21118
PARTNERS
NC
01
5265896
CIGNA
NC
01
66091
MEDCOST
NC
05
89132C9
NC
Enumeration date
08/31/2006
Last updated
12/11/2007
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