NPI 1346619558
Matthew Shaun Woodruff, IDC
Practice location
- Address
- Post Office Box 66038 Marine Aircraft Group 31, Beaufort, SC 29904-6038
- Phone
- (843) 228-6257
- Mailing address
- 43 White Pond Blvd, Beaufort, SC 29902-3338
Registered specialties
Independent Duty Corpsman
Primary
Registry record
- NPI
- 1346619558
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 17 Sep 2015
- Record last updated
- 17 Sep 2015
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.