Provider Demographics
NPI:1235600305
Name:WOODHILL WOUND SERVICES, LLC
Entity Type:Organization
Organization Name:WOODHILL WOUND SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER/CFO
Authorized Official - Prefix:
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HEMPHILL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:662-418-9264
Mailing Address - Street 1:834 HIGHWAY 12 W # 142
Mailing Address - Street 2:
Mailing Address - City:STARKVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:39759-3582
Mailing Address - Country:US
Mailing Address - Phone:662-418-9264
Mailing Address - Fax:662-269-4470
Practice Address - Street 1:834 HIGHWAY 12 W # 142
Practice Address - Street 2:
Practice Address - City:STARKVILLE
Practice Address - State:MS
Practice Address - Zip Code:39759-3582
Practice Address - Country:US
Practice Address - Phone:662-418-9264
Practice Address - Fax:662-269-4470
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-16
Last Update Date:2018-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty