Search › Georgia › 390200000X
Woodly Dominique
NPI 1457081507 · on the registry since 2022 · sole proprietor
Practice
- Address
- 2050 Tallokas Rd
Moultrie, GA 31768 - Phone
- (615) 935-8357
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Sex
- Male
- Record last updated
- 2022-06-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia