Provider Demographics
NPI:1811638059
Name:WOODS, ELON (DOULA)
Entity type:Individual
Prefix:MRS
First Name:ELON
Middle Name:
Last Name:WOODS
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:685 FLAMINGO DR SW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30311-2403
Mailing Address - Country:US
Mailing Address - Phone:708-539-8036
Mailing Address - Fax:
Practice Address - Street 1:685 FLAMINGO DR SW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30311-2403
Practice Address - Country:US
Practice Address - Phone:708-539-8036
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-03
Last Update Date:2022-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula