Woodham, Chanetta Lashan

Woodham, Chanetta Lashan is an individual health care provider with primary practice located at 207 Haven Dr , Dothan AL 36301-2919. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Woodham, Chanetta Lashan can be contacted via phone (334) 793-3319.

Contact Information

Primary practice address
207 Haven Dr Dothan AL 36301-2919
Phone: (334) 793-3319
Fax: (334) 793-2291
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1-098137 Alabama

Profile Details

NPI number 1619264520
LBN Legal business name Woodham, Chanetta Lashan
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2011
Last updated Dec 4th, 2017 - about 9 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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