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General NPI Number Information
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NPI Number | 1467697029
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Entity Type | Organization
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Legal Business Name | W. JASON WOODS, LLC
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Dates
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Enumeration Date | 12/11/2008
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Last Update Date | 04/03/2024
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Provider Practice Location Address
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Address Line | 220 N MACON ST
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City | MACON
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State | GA
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Zip | 31210-6558
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Country | US
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Telephone | 478-755-0020
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 26040
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City | MACON
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State | GA
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Zip | 31221-6040
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Country | US
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Telephone | 478-475-1299
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Fax | 478-405-7928
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Authorized Official
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Title or Position | MD
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Name | W JASON WOODS
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Credential |
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Telephone | 478-755-0020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 044383
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License Number State | GA
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