Woda, Debra L

Woda, Debra L is an individual health care provider with primary practice located at 2 Medical Park Rd Ste 107 , Columbia SC 29203-6839. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Woda, Debra L can be contacted via phone (803) 545-5700.

Contact Information

Primary practice address
2 Medical Park Rd Ste 107 Columbia SC 29203-6839
Phone: (803) 545-5700
Fax: (803) 434-4699
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 3064 South Carolina

Profile Details

NPI number 1578753182
LBN Legal business name Woda, Debra L
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2007
Last updated Sep 11th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578753182 NPPES
South Carolina MEDICAID MW0180

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