Healthcare Provider Details

I. General information

NPI: 1245399575
Provider Name (Legal Business Name): HENRY A WOODS JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/06/2006
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 HOSPITAL DR
MACON GA
31217-3838
US

IV. Provider business mailing address

535 JESSE JEWELL PKWY SE SUITE A
GAINESVILLE GA
30501-3772
US

V. Phone/Fax

Practice location:
  • Phone: 478-765-7000
  • Fax:
Mailing address:
  • Phone: 770-534-9729
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number77006
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number0101236842
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: