| Provider / Organization | NPI | Date Certified |
|---|---|---|
| DOMINIC DEAN WOODSON | 1912403668 | 2023-08-17 |
Dominic Dean Woodson is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1912403668. Registration indicates Dominic Dean Woodson is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care) (Orthopaedic Surgery, ) (Allopathic & Osteopathic Physicians, Orthopaedic Surgery) (Specialist Network, ) (Orthopaedic Surgery, Allopathic & Osteopathic Physicians)
| Entity Type | Individual |
| Provider Name | Dr. Dominic Dean Woodson DO |
| Practice Office Address | 2301 ERWIN ROAD DURHAM, NC US |
| Practice Office Telephone | 9196848111 |
| Mailing Address | 2301 ERWIN ROAD DURHAM, NC 277104404 US |
| Code | Practice | License No State |
|---|---|---|
| 390200000X | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care | |
| 207X00000X PRIMARY | Orthopaedic Surgery Allopathic & Osteopathic Physicians Orthopaedic Surgery Specialist Network Orthopaedic Surgery Allopathic & Osteopathic Physicians | 20A17497
CA |