Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 0101261442 | VA |
N | 208100000X | Physical Medicine & Rehabilitation Doctor | H3349 | TX |
NPI | 1023171568 |
---|---|
Provider Name | Edward Andrew Woods |
First Address | Roanoke, VA 24011-1713 |
Second Address | Roanoke, VA 24014-1111 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/12/2006 |
Last Update Date | 20/11/2020 |