Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 3562 | AL |
Y | 213EG0000X | General Practice | 3562 | AL |
NPI | 1003034778 |
---|---|
Provider Name | Dr. Karen L Woodard |
First Address | Phil Campbell, AL 35581-0130 |
Second Address | Phil Campbell, AL 35581 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2007 |
Last Update Date | 08/07/2007 |