Woodruff, George Raymond
Woodruff, George Raymond is an sole proprietor health care provider with primary practice located at 3030 N Highway 81 , Anderson SC 29621-3620. He recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Family. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Woodruff, George Raymond can be contacted via phone (864) 222-0019.Contact Information
Primary practice address
3030 N Highway 81
Anderson SC 29621-3620
Phone: (864) 222-0019
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 792 | South Carolina |
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | 792 | South Carolina |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 792 | South Carolina |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 792 | South Carolina |
| Behavioral Health & Social Service Providers / Family | 103TF0000X | 792 | South Carolina |
Profile Details
| NPI number | 1215989967 |
|---|---|
| LBN Legal business name | Woodruff, George Raymond |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 17th, 2006 |
| Last updated | Mar 24th, 2017 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215989967 | NPPES |
| South Carolina | MEDICAID | PS0317 |
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