MS. ALICE EVELYN WOODRUFF


Address: 108 Park Ave, Athens, GA 30601-1722
Phone: 7065461333

MS. ALICE EVELYN WOODRUFF (NPI# 1700070901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700070901
Entity Type Individual
Full Name MS. ALICE EVELYN WOODRUFF
Credential FNP
Practice Address 108 Park Ave
Athens
GA 30601-1722
Practice Telephone 7065461333
Practice Fax Number 7065466807
Mailing Telephone 7065461333
Mailing Fax Number 7065466807
Enumeration Date 2007-08-30
Last Update Date 2008-02-04
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364SF0001X Clinical Nurse Specialist
Specialization: Family Health
RN123354 NP GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 108 PARK AVE
City ATHENS
State GA
Zip Code 30601-1722

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1972921021 Issa Papiss Bagayogo Psychiatry & Neurology 297 Prince Avenue Suite 28a, Athens, GA 30601 2014-04-04
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Taxonomy Information

Taxonomy Code 364SF0001X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Family Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1922348192 Karen Potter Clinical Nurse Specialist 101 Fitness Way, Suite 1200, Athens, AL 35611-2492 2013-02-25

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NPI Name Taxonomy Address Enumeration
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1609314376 Sajani Paresh Patel Clinical Nurse Specialist 4775 Jimmy Carter Blvd Ste 201, Norcross, GA 30093-3760 2017-02-02
1750827242 Mahlet Abebe Clinical Nurse Specialist 621 Windcroft Cir Nw, Acworth, GA 30101-3797 2017-01-09
1952780389 Beverley Murray Clinical Nurse Specialist 210 Long Bridge Rd, Helena, GA 31037-2804 2015-05-19
1013337690 Elizabeth Anne Dykeman Clinical Nurse Specialist 3035 Highway 17, Sautee Nacoochee, GA 30571-3013 2014-04-22
1205258431 Gary Steven Koller Clinical Nurse Specialist 76 Holder Road, Lumpkin, GA 31815 2014-01-07
1801135280 Sharon Templeton Matson Clinical Nurse Specialist 2950 Ashbyrn Ct, Buford, GA 30519-3989 2013-02-05
1205061371 Tami Mitchell Hefner Clinical Nurse Specialist 290 Emerald Dr, Clarkesville, GA 30523-4290 2009-05-19
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City ATHENS
Zip Code 30601

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Dataset Information

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.

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