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NPI Code Detail

MEDICARE: DRS. WOODALL, WILSON & MANLEY, LLP

MEDICARE: DRS. WOODALL, WILSON & MANLEY, LLP
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 Physician022917GA

Other Identifiers

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

General Provider Information

NPI Number : 1881862191
Entity Type Code : Organization
Provider Name (Legal Business Name) : DRS. WOODALL, WILSON & MANLEY, LLP
Provider Business Mailing Address
First Line : 101 HOUSTON ST
Second Line :
City : BARNESVILLE
State : GA
Zip : 30204-1660
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 101 HOUSTON ST
Second Line :
City : BARNESVILLE
State : GA
Zip : 30204-1660
Country : US
Telephone Number : 770-358-1961
Fax Number :
Authorized Official
Title or Position : PARTNER, PHYSICIAN
Name : DR. LEE WOODALL
Credential : M.D.
Telephone Number : 770-358-1961
Provider Enumeration Date : 02/20/2008
Last Update Date : 02/20/2008

Similar Medicare Providers

1942295431 — MRS. SALLIE P COKE MSN
Practice Location Address:
101 HOUSTON ST
BARNESVILLE, GA
30204-1660
Practice Phone: 770-358-1961
Practice Fax:
1023105723 — LEE T WOODALL M.D.
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101 HOUSTON ST
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1467549170 — TERRI M WILSON M.D.
Practice Location Address:
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BARNESVILLE, GA
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1346337052 — HALEY M MANLEY M.D.
Practice Location Address:
101 HOUSTON ST
BARNESVILLE, GA
30204-1660
Practice Phone: 770-358-1961
Practice Fax: 770-358-9233
1366694051 — MRS. SANDRA D COPELAND NP
Practice Location Address:
101 HOUSTON ST
BARNESVILLE, GA
30204-1660
Practice Phone: 770-358-1961
Practice Fax:
1972301042 — MRS. CAROLINE JONES WARREN
Practice Location Address:
101 HOUSTON ST
BARNESVILLE, GA
30204-1660
Practice Phone: 770-358-1961
Practice Fax: 770-358-9233

Directions to “DRS. WOODALL, WILSON & MANLEY, LLP ” Practice Location

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