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NPI Code Detail

MEDICARE: MADISON WOODY SLP

MEDICARE: MADISON WOODY SLP
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
1235Z00000XSpeech-Language Pathologist30004699NC

General Provider Information

NPI Number : 1184459067
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADISON WOODY SLP
Provider Business Mailing Address
First Line : 1540 E ARLINGTON BLVD
Second Line :
City : GREENVILLE
State : NC
Zip : 27858-5870
Country : US
Telephone Number : 276-298-5829
Fax Number :
Provider Business Practice Location Address
First Line : 1540 E ARLINGTON BLVD
Second Line :
City : GREENVILLE
State : NC
Zip : 27858-5870
Country : US
Telephone Number : 276-298-5829
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2024
Last Update Date : 06/04/2026

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Directions to “ MADISON WOODY SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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