Woodall, James Robert

Woodall, James Robert is an individual health care provider with primary practice located at 505 Georgian Dr Ste A, Mobile AL 36609. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Woodall, James Robert can be contacted via phone (251) 342-1644.

Contact Information

Primary practice address
505 Georgian Dr Ste A Mobile AL 36609
Fax: (251) 342-1648
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 2891 Alabama

Profile Details

NPI number 1942391156
LBN Legal business name Woodall, James Robert
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Jul 8th, 2007 - about 17 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 1942391156 NPPES
Alabama Other 515-18112 BCBS OF AL
Alabama Other 196246 BCBS OF AL

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