MEDICARE: JUSTIN CHARLES WOODS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207XX0801X	Orthopaedic Trauma Physician	33893	AL
2	207X00000X	Orthopaedic Surgery Physician	ME141406	FL
3	207XX0801X	Orthopaedic Trauma Physician	ME141406	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	LK096	OTHER	FL	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	XEI0G	OTHER	FL	FL BLUE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649614082
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUSTIN CHARLES WOODS

Provider Business Mailing Address
First Line	:	PO BOX 370
Second Line	:
City	:	FORTSON
State	:	GA
Zip	:	31808-0370
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4689 US HIGHWAY 17 STE 12
Second Line	:
City	:	FLEMING ISLAND
State	:	FL
Zip	:	32003-4831
Country	:	US
Telephone Number	:	43-759-7539
Fax Number	:	904-375-8380

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/27/2013
Last Update Date	:	04/21/2026

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Directions to “ JUSTIN CHARLES WOODS ” Practice Location

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