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General NPI Number Information
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NPI Number | 1568624351
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Entity Type | Individual
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Provider Name | GARY M WOODS MD
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Gender | Male
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Dates
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Enumeration Date | 07/02/2008
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Last Update Date | 10/08/2024
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Provider Practice Location Address
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Address Line | 2220 N DRUID HILLS RD NE
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City | ATLANTA
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State | GA
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Zip | 30329
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Country | US
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Telephone | 404-785-3184
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Fax |
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Provider Business Mailing Address
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Address Line | 2220 N DRUID HILLS RD NE
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City | ATLANTA
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State | GA
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Zip | 30329-3117
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Country | US
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Telephone | 404-785-3184
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0207X
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Taxonomy Name | Pediatric Hematology & Oncology Physician
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License Number | 79803
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 2080P0207X
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Taxonomy Name | Pediatric Hematology & Oncology Physician
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License Number | 0101258119
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 2080P0207X
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Taxonomy Name | Pediatric Hematology & Oncology Physician
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License Number | 079803
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License Number State | GA
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