Dr. Bonnie N. Woodall
Pediatric Emergency Doctor
2500 N State St
Jackson
, Mississippi 39216-4500
Dr. Bonnie N. Woodall
Pediatric Emergency Doctor
2500 N State St
Jackson
, Mississippi 39216-4500
(601) 815-1050
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About
Features
Specialties
- Pediatric Emergency Doctor
Languages spoken
- English
Location
First Address
- Dr. Bonnie N. Woodall
- 2500 N State St
- Jackson, MS
- Zip : 39216-4500
- Fax : (601) 815-1050
- Phone : (601) 984-2195
Second Address
- Dr. Bonnie N. Woodall
- 2500 N State St
- Jackson, MS
- Zip : 39216-4500
- Fax : (601) 815-1050
- Phone : (601) 984-2195
Reviews
FAQs
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Is Dr. Bonnie N. Woodall a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0204X | Pediatric Emergency Doctor | 11066 | MS |
National Provider Identifier
| NPI | 1134155971 |
|---|---|
| Provider Name | Dr. Bonnie N. Woodall |
| First Address | Jackson, MS 39216-4500 |
| Second Address | Jackson, MS 39216-4500 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/06/2006 |
| Last Update Date | 15/08/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00010725 | (05) | MS |
| 1656631 | (05) | LA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.