BOLAN P WOODWARD (NPI# 1699851337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699851337 |
| Entity Type | Individual |
| Full Name | BOLAN P WOODWARD |
| Credential | MD |
| Practice Address |
220 Northside Drive Valdosta GA 31602 |
| Practice Telephone | 2292412800 |
| Practice Fax Number | 2292410454 |
| Mailing Telephone | 2292412800 |
| Mailing Fax Number | 2292410454 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 20851 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
220 NORTHSIDE DRIVE |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346326048 | Gina S Dungan | Nurse Practitioner | 220 Northside Drive, Valdosta, GA 31602 | 2006-10-27 |
| 1740366442 | Pamela H Temples | Obstetrics & Gynecology | 220 Northside Drive, Valdosta, GA 31602 | 2006-10-27 |
| 1447336185 | Alexander M Culbreth IIi | Obstetrics & Gynecology | 220 Northside Drive, Valdosta, GA 31602 | 2006-10-27 |
| 1255417994 | Joe C Clifton | Obstetrics & Gynecology | 220 Northside Drive, Valdosta, GA 31602 | 2006-10-27 |
| 1437235199 | Sara N Yarbrough | Obstetrics & Gynecology | 220 Northside Drive, Valdosta, GA 31602 | 2006-10-27 |
| 1871679571 | Mary T Dazey | Advanced Practice Midwife | 220 Northside Drive, Valdosta, GA 31602 | 2006-10-27 |
| 1851477558 | Frank Q Smith | Obstetrics & Gynecology | 220 Northside Drive, Valdosta, GA 31602 | 2006-10-27 |
| 1750467452 | Paula L Bennett | Nurse Practitioner | 220 Northside Drive, Valdosta, GA 31602 | 2006-10-27 |
| 1417033168 | Roy E Swindle Jr. | Obstetrics & Gynecology | 220 Northside Drive, Valdosta, GA 31602 | 2006-10-27 |
| 1790861441 | Thomas H Moseley Jr. | Obstetrics & Gynecology | 220 Northside Drive, Valdosta, GA 31602 | 2006-10-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477198117 | Amber Michele Baugh | Behavior Technician | 2236 Bemiss Road, Valdosta, GA 31602 | 2019-11-15 |
| 1528611365 | Nishaben T. Patel | Nurse Practitioner | 3120 North Oak Street Extension, Suite B, Valdosta, GA 31602 | 2019-07-22 |
| 1427615871 | Blair Elizabeth Tomlinson | Nurse Practitioner | 2124 Lakeshore Drive, Valdosta, GA 31602 | 2019-05-21 |
| 1346704152 | Mildred Itaska Borowski | Counselor | 3790 North Highway 41, Suite A, Valdosta, GA 31602 | 2019-01-25 |
| 1962991703 | Southern Healthcare Alliance, LLC | Physical Medicine & Rehabilitation | 101-f W. Northside Drive, Valdosta, GA 31602 | 2018-05-08 |
| 1336636646 | Kaitlyn Thrift | Behavioral Analyst | 2225 Bemiss Road Suite D, Valdosta, GA 31602 | 2018-04-23 |
| 1407379845 | Lindsey Marie Richardson | Dentist | 103 W. Cranford Ave, Valdosta, GA 31602 | 2017-07-18 |
| 1962922427 | Taylor Nicole Fiveash | Nurse Practitioner | 101 W Northisde Dr, Bldg G, Valdosta, GA 31602 | 2017-06-26 |
| 1720520646 | Southern Sleepers Anesthesia LLC | Nurse Anesthetist, Certified Registered | 4120-b N. Valdosta Road, Valdosta, GA 31602 | 2016-11-09 |
| 1134670557 | Cataract and Laser Surgery Center of South Georgia, P.C. | Clinic/Center | 4120-b N. Valdosta Rd., Valdosta, GA 31602 | 2016-10-20 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740591833 | Nellie Sarah Crawford | Obstetrics & Gynecology | 2601 Bemiss Rd Ste A, Valdosta, GA 31602-1430 | 2010-06-23 |
| 1801951454 | Southern Ob Gyn Associates P C | Obstetrics & Gynecology | 220 Northside Dr, Valdosta, GA 31602-1858 | 2006-12-26 |
| 1467468561 | Jerthitia S Taylor | Obstetrics & Gynecology | 2601 Bemiss Rd, Suite A, Valdosta, GA 31602-1445 | 2006-07-31 |
| 1932175726 | Danielle Mcfarland | Obstetrics & Gynecology | 604 E Park Ave, Valdosta, GA 31602-3060 | 2006-02-23 |
| 1720693047 | Southwell Ambulatory Inc | Obstetrics & Gynecology | 814 Northwood Park Dr, Valdosta, GA 31602-1398 | 2020-09-14 |
| 1437396439 | Owen K Youles II | Obstetrics & Gynecology | 3811 Old Us Highway 41 N, Valdosta, GA 31602-6807 | 2009-01-13 |
| 1740366442 | Pamela H Temples | Obstetrics & Gynecology | 220 Northside Drive, Valdosta, GA 31602 | 2006-10-27 |
| 1447336185 | Alexander M Culbreth IIi | Obstetrics & Gynecology | 220 Northside Drive, Valdosta, GA 31602 | 2006-10-27 |
| 1255417994 | Joe C Clifton | Obstetrics & Gynecology | 220 Northside Drive, Valdosta, GA 31602 | 2006-10-27 |
| 1437235199 | Sara N Yarbrough | Obstetrics & Gynecology | 220 Northside Drive, Valdosta, GA 31602 | 2006-10-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.