Provider Demographics
NPI:1447605936
Name:WOODY, PAUL C (DO)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:C
Last Name:WOODY
Suffix:
Gender:
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:358 WOODY HEIGHTS RD
Mailing Address - Street 2:
Mailing Address - City:DAHLONEGA
Mailing Address - State:GA
Mailing Address - Zip Code:30533-5305
Mailing Address - Country:US
Mailing Address - Phone:678-780-9341
Mailing Address - Fax:
Practice Address - Street 1:59 TIPTON DR
Practice Address - Street 2:
Practice Address - City:DAHLONEGA
Practice Address - State:GA
Practice Address - Zip Code:30533-1603
Practice Address - Country:US
Practice Address - Phone:770-746-6418
Practice Address - Fax:877-550-1714
Is Sole Proprietor?:No
Enumeration Date:2016-05-03
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA83820207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine