Provider Demographics
NPI:1053056150
Name:WOYDAK, CHAMA
Entity Type:Individual
Prefix:
First Name:CHAMA
Middle Name:
Last Name:WOYDAK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 SUGAR CREEK RD
Mailing Address - Street 2:
Mailing Address - City:WEAVERVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28787-9642
Mailing Address - Country:US
Mailing Address - Phone:828-777-8899
Mailing Address - Fax:
Practice Address - Street 1:71 SUGAR CREEK RD
Practice Address - Street 2:
Practice Address - City:WEAVERVILLE
Practice Address - State:NC
Practice Address - Zip Code:28787-9642
Practice Address - Country:US
Practice Address - Phone:828-777-8899
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-03
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula