Provider Demographics
NPI:1063177285
Name:WOODS, WILLIAM COLEMAN
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:COLEMAN
Last Name:WOODS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:641 E WATERFRONT DR APT 4306
Mailing Address - Street 2:
Mailing Address - City:MUNHALL
Mailing Address - State:PA
Mailing Address - Zip Code:15120-5027
Mailing Address - Country:US
Mailing Address - Phone:501-825-0061
Mailing Address - Fax:
Practice Address - Street 1:4307 SENNOTT SQUARE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15260
Practice Address - Country:US
Practice Address - Phone:412-624-5800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-02
Last Update Date:2021-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program