Woodall, Anthony M

Woodall, Anthony M is an individual health care provider with primary practice located at 111 N 2Nd St , Smithfield NC 27577-3933. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Woodall, Anthony M can be contacted via phone (919) 938-0921.

Contact Information

Primary practice address
111 N 2Nd St Smithfield NC 27577-3933
Phone: (919) 938-0921
Fax: (919) 938-3807
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 3041 North Carolina
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 632 North Carolina

Profile Details

NPI number 1235178724
LBN Legal business name Woodall, Anthony M
Credentials MA, LPC, LCAS
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235178724 NPPES
North Carolina Other 1165Y 3
North Carolina Other 577331 3
North Carolina Other 0177C 3
North Carolina Other 2076854 3
North Carolina MEDICAID 6102389 3

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