Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 2011-00350 | NC |
N | 207YX0007X | Plastic Surgeon (Head & Neck) | A111984 | CA |
NPI | 1871708636 |
---|---|
Provider Name | Dr. Charles R Woodard |
First Address | Durham, NC 27713-4430 |
Second Address | Durham, NC 27705-3941 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2007 |
Last Update Date | 28/07/2011 |