Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 9501460 | NC |
NPI | 1013004811 |
---|---|
Provider Name | Dr. Christopher Wildrick Woods |
First Address | Durham, NC 27705 |
Second Address | Durham, NC 27705-3875 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2006 |
Last Update Date | 14/08/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H640-30 | (02) | NC |