NPI 1407462401

Pamela Woodard

Practitioner Contractor Conyers, GA

Practice location

Address: 868 Cochise Trl SE, Conyers, GA 30094-4538
Phone: (678) 588-8220

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1407462401
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Sep 2020
Record last updated: 16 Sep 2020

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.