Provider Demographics
NPI:1427250935
Name:WOODSON, ANNA E (MD)
Entity type:Individual
Prefix:DR
First Name:ANNA
Middle Name:E
Last Name:WOODSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:59 TIPTON DR
Mailing Address - Street 2:
Mailing Address - City:DAHLONEGA
Mailing Address - State:GA
Mailing Address - Zip Code:30533-1603
Mailing Address - Country:US
Mailing Address - Phone:770-800-3455
Mailing Address - Fax:770-450-8024
Practice Address - Street 1:1488 JESSE JEWELL PKWY SE STE 202
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501-3804
Practice Address - Country:US
Practice Address - Phone:770-800-3455
Practice Address - Fax:770-450-8024
Is Sole Proprietor?:No
Enumeration Date:2007-06-05
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS19783207N00000X, 208000000X
AL30934207N00000X
GA89404207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003252576EMedicaid