Healthcare Provider Details

I. General information

NPI: 1134419633
Provider Name (Legal Business Name): BRANDON KEITH WOODARD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2011
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 W MULBERRY BLVD STE 100
SAVANNAH GA
31407-3507
US

IV. Provider business mailing address

101 W MULBERRY BLVD STE 100
SAVANNAH GA
31407-3507
US

V. Phone/Fax

Practice location:
  • Phone: 912-350-5937
  • Fax: 912-273-1033
Mailing address:
  • Phone: 912-350-5937
  • Fax: 912-273-1033

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number2015-01310
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number112094
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: