location
search-icon
person
Woodly Terry Dominique
Student in an Organized Health Care Education/Training Program in Moultrie, Georgia
NPI 1457081507

Woodly Terry Dominique is a Student in an Organized Health Care Education/Training Program based in Moultrie, GA. Woodly Terry Dominique practices in Moultrie, GA. The NPI Number for Woodly Terry Dominique is 1457081507 and holds a License No. (Georgia).

The current practice location address for Woodly Terry Dominique is 2050 Tallokas Rd, Moultrie, GA and can be reached out via phone at 615-935-8357.

Location: 2050 Tallokas Rd, Moultrie, GA, 31768-7666
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457081507
Provider Name
Woodly Terry Dominique
Credential
Provider Entity Type
Individual
Gender
Male
Address
2050 Tallokas Rd, Moultrie, GA, 31768-7666
Phone Number
615-935-8357
Fax Number
Provider Enumeration Date
06/13/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2050 Tallokas Rd
City
Moultrie
State
Georgia
Zip
31768-7666
Phone Number
615-935-8357
Fax Number
person
Provider Business Mailing Address Details
Address
2050 Tallokas Rd
City
Moultrie
State
Georgia
Zip
31768-7666
Phone Number
615-935-8357
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.