Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WOODLY TERRY DOMINIQUE
Active Sole ProprietorWOODLY TERRY DOMINIQUE is a Student (Health Education/Training) healthcare provider located in MOULTRIE, Georgia. NPI 1457081507 is currently active in the NPPES registry. Verify at CMS.
Student (Health Education/Training) · MOULTRIE, GA
Registration Details
- NPI Number
- 1457081507
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 13, 2022 (4.1478006396789 yrs)
- Last Updated
- Jun 13, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
2050 TALLOKAS RDMOULTRIE, GA, 317687666Browse GA providers · Browse ZIP 31768
- Phone
- 6159358357
- Primary Specialty
-
Student (Health Education/Training)
390200000X
Other Student (Health Education/Training) Providers in MOULTRIE, GA
| Name | Credential | NPI |
|---|---|---|
| DR. XUAN OUYANG | DO | 1477202034 |
| RICHARD TRICARDO | MD, JD | 1457000143 |
| GEOFFREY MARTIN | — | 1366186553 |
| MONTAVIOUS T MCKENZIE | — | 1760126643 |
| DAANIYA JAMAL | — | 1295465508 |
| DR. BRANDON KROUT | MD | 1932801081 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.