Woodbury, David M

Woodbury, David M is an individual health care provider with primary practice located at 655 Jesse Jewell Pkwy Se Ste B , Gainesville GA 30501-3854. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Woodbury, David M can be contacted via phone (770) 532-7092.

Contact Information

Primary practice address
655 Jesse Jewell Pkwy Se Ste B Gainesville GA 30501-3854
Phone: (770) 532-7092
Fax: (770) 536-0383
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 87424 Georgia
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 27593 South Carolina
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 27593 South Carolina
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 87424 Georgia

Profile Details

NPI number 1770512311
LBN Legal business name Woodbury, David M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Jun 21st, 2024 - about 2 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 1770512311 NPPES
South Carolina MEDICAID 275936
South Carolina Other 285800
South Carolina MEDICAID 0003243833

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