Woodall, Tara

Woodall, Tara is an individual health care provider with primary practice located at 1120 15Th St , Augusta GA 30912-0004. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Woodall, Tara can be contacted via phone (706) 724-6100.

Contact Information

Primary practice address
1120 15Th St Augusta GA 30912-0004
Phone: (706) 724-6100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 160860 Georgia

Profile Details

NPI number 1942692157
LBN Legal business name Woodall, Tara
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 25th, 2015
Last updated Mar 3rd, 2015 - about 10 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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