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NPI Code Detail

MEDICARE: MICHELLE E MASON-WOODARD M.D.

MEDICARE: MICHELLE E MASON-WOODARD M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician61981CT
2207Q00000XFamily Medicine Physician35.135090OH
3207Q00000XFamily Medicine Physician46168GA
4207Q00000XFamily Medicine PhysicianME137893FL
5207Q00000XFamily Medicine Physician52010KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1104818806
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE E MASON-WOODARD M.D.
Provider Business Mailing Address
First Line : 212 HOSPITAL DR
Second Line :
City : WASHINGTON
State : GA
Zip : 30673-5619
Country : US
Telephone Number : 706-678-6944
Fax Number : 706-678-6945
Provider Business Practice Location Address
First Line : 212 HOSPITAL DR
Second Line :
City : WASHINGTON
State : GA
Zip : 30673-5619
Country : US
Telephone Number : 706-678-6944
Fax Number : 706-678-6945
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2005
Last Update Date : 01/03/2026

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