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MICHELLE WOODARD M.D LLC NPI 1154796563


NPI Information

NPI: 1154796563
Provider Name: MICHELLE WOODARD M.D LLC

Doing Business As: MDMDS1992LLC

Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization
Address:
2410 HOG MOUNTAIN RD STE 303
WATKINSVILLE, GA
ZIP 30677
Phone: (706) 705-6070
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MICHELLE WOODARD M.D LLC is a preferred provider organization in Watkinsville, GA. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. MICHELLE WOODARD M.D LLC NPI is 1154796563. The provider is registered as an organization entity type.
The provider Is Doing Business As Mdmds1992llc.

The provider's business location address is:

2410 HOG MOUNTAIN RD STE 303
WATKINSVILLE, GA
ZIP 30677-850
Phone: (706) 705-6070
Fax: (706) 705-6075

The provider's authorized official is Melissa Barney .
The authorized official title is Practice Manager and has the following contact phone number (706) 705-6070.

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


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
1305R00000XPreferred Provider Organization061022GEORGIAYes

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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