Healthcare Provider Details

I. General information

NPI: 1427250935
Provider Name (Legal Business Name): ANNA E WOODSON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2007
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

428 HOSPITAL DR
COLUMBUS MS
39705-1937
US

IV. Provider business mailing address

815 HIGHWAY 80 E
CLINTON MS
39056-5252
US

V. Phone/Fax

Practice location:
  • Phone: 601-910-3004
  • Fax: 601-910-3005
Mailing address:
  • Phone: 601-910-3004
  • Fax: 601-910-3005

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number30934
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number19783
License Number StateMS
# 3
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number19783
License Number StateMS
# 4
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number89404
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: