Provider Demographics
NPI:1649366048
Name:WOODSON, TWANNA S (MD)
Entity type:Individual
Prefix:
First Name:TWANNA
Middle Name:S
Last Name:WOODSON
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Gender:F
Credentials:MD
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Mailing Address - Street 1:3495 PIEDMONT RD NE
Mailing Address - Street 2:NINE PIEDMONT CENTER
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305-1717
Mailing Address - Country:US
Mailing Address - Phone:404-364-7070
Mailing Address - Fax:404-778-5495
Practice Address - Street 1:1968 PEACHTREE ROAD, NE
Practice Address - Street 2:HOSPITAL SERVICES-THE SOUTHEAST PERMANENTE MEDICAL GROU
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309
Practice Address - Country:US
Practice Address - Phone:404-364-7070
Practice Address - Fax:404-778-5495
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2022-01-11
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Provider Licenses
StateLicense IDTaxonomies
GA046519207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G87622Medicare UPIN