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1467074666
JEFFREY SAMUEL WOODARD
CHARLOTTE, NC
NPI
1467074666
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-10139)
Enumeration Date
2020-05-11
Last Update Date
2021-09-23
Business Address
JEFFREY SAMUEL WOODARD Physician Assistant
10420 PARK RD STE 300
CHARLOTTE, NC 28210-8502
Phone number: 980-237-4766
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Mailing Address
JEFFREY SAMUEL WOODARD Physician Assistant
901 HARVARD PL
CHARLOTTE, NC 28207-1839
Phone number: 980-329-2051
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