NPI 1194466813

Thai Thao Woodcock, CSFA

Practitioner Surgical Assistant Gulfport, MS

Practice location

Address: 15085 Ranier Ave, Gulfport, MS 39503-4650
Phone: (228) 313-2286

Registered specialties

Surgical Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZC0007X Licence 208458 (MS)

Other Specialist/Technologist, Other providers in Mississippi →

Registry record

NPI: 1194466813
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Apr 2022
Record last updated: 5 Apr 2022

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.