NPI 1063854537

Brian Woodard, LPN

Practitioner Licensed Practical Nurse Grayson, GA

Practice location

Address: 545 Rosewood Trl, Grayson, GA 30017-1261
Phone: (770) 861-6807
Fax: (770) 674-4578

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence LPN050736 (GA)

Other Licensed Practical Nurse providers in Georgia →

Registry record

NPI: 1063854537
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Jul 2013
Record last updated: 24 Jul 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.