Provider Demographics
NPI:1477855906
Name:WOODS, LATOYA NICOLE (DO)
Entity Type:Individual
Prefix:
First Name:LATOYA
Middle Name:NICOLE
Last Name:WOODS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:LATOYA
Other - Middle Name:NICOLE
Other - Last Name:WOODS-SHAW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:2920 HIGHWOODS BLVD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27604-0010
Mailing Address - Country:US
Mailing Address - Phone:877-498-4490
Mailing Address - Fax:
Practice Address - Street 1:231 N JUDD PKWY NE
Practice Address - Street 2:
Practice Address - City:FUQUAY VARINA
Practice Address - State:NC
Practice Address - Zip Code:27526-2694
Practice Address - Country:US
Practice Address - Phone:919-235-6560
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-04
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2013-02314207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine