Healthcare Provider Details

I. General information

NPI: 1659203487
Provider Name (Legal Business Name): SAYJAL GABRIELLE WOODS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 HERTY DR
ATHENS GA
30602-5050
US

IV. Provider business mailing address

6418 BANBURY CT SE
MABLETON GA
30126-7745
US

V. Phone/Fax

Practice location:
  • Phone: 706-542-1739
  • Fax:
Mailing address:
  • Phone: 470-698-6440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: