LARESA M WOODARD

EAST POINT, GA
NPI1609212661
Former NameLARESA M NOLTON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: GA  06771)
Enumeration Date2013-05-17
Last Update Date2013-05-17
Business Address
Mrs. LARESA M WOODARD PA-C
1422 CLEVELAND AVE
EAST POINT, GA 30344-6983
Phone number: 404-766-3337
Mailing Address
Mrs. LARESA M WOODARD PA-C
10 PERIMETER PARK DR APT 343
ATLANTA, GA 30341-1344
Phone number: 404-556-8906