Woodruff, Mary Teresa

Woodruff, Mary Teresa is an individual health care provider with primary practice located at 2366 Battlefield Pkwy , Fort Oglethorpe GA 30742-4030. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Woodruff, Mary Teresa can be contacted via phone (706) 866-7384.

Contact Information

Primary practice address
2366 Battlefield Pkwy Fort Oglethorpe GA 30742-4030
Phone: (706) 866-7384
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 69737 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 079456 Georgia

Profile Details

NPI number 1740465129
LBN Legal business name Woodruff, Mary Teresa
Credentials CPNP-PC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2008
Last updated Jan 4th, 2008 - about 18 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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