Woodall, Denise

Woodall, Denise is an individual health care provider with primary practice located at 2151 Fountain Dr Suite 101, Snellville GA 30078-6783. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Woodall, Denise can be contacted via phone (770) 979-9996.

Contact Information

Primary practice address
2151 Fountain Dr Suite 101 Snellville GA 30078-6783
Phone: (770) 979-9996
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN139540 Georgia

Profile Details

NPI number 1558343269
LBN Legal business name Woodall, Denise
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Oct 10th, 2013 - about 12 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 1558343269 NPPES
Georgia MEDICAID 197715386A

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