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W M WOODWARD MD PA NPI 1063454775


NPI Information

NPI: 1063454775
Provider Name: W M WOODWARD, MD, PA

Doing Business As: CHARLESTON PAIN & REHABILITATION CENTER

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1124 SAM RITTENBERG BLVD
SUITE 1
CHARLESTON, SC
ZIP 29407
Phone: (843) 556-3462
Get Directions

W M WOODWARD, MD, PA is a family medicine in Charleston, SC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. W M WOODWARD, MD, PA NPI is 1063454775. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Charleston Pain & Rehabilitation Center.

The provider's business location address is:

1124 SAM RITTENBERG BLVD
SUITE 1
CHARLESTON, SC
ZIP 29407-362
Phone: (843) 556-3462
Fax: (843) 766-2103

The provider's authorized official is Jeffrey Wayne Buncher .
The authorized official title is Medical Director and has the following contact phone number (843) 556-3462.

The enumeration date for this NPI number is 6/10/2006 and was last updated on 6/12/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine15523SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16423830001MEDICARE NSCSOUTH CAROLINA
2GP1103MEDICAIDSOUTH CAROLINA
3E88415MEDICARE UPINSOUTH CAROLINA
41641MEDICARE PINSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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