Provider Demographics
NPI:1497288435
Name:WOODS, DEIDRE SAVEDGE (NP-C)
Entity Type:Individual
Prefix:
First Name:DEIDRE
Middle Name:SAVEDGE
Last Name:WOODS
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 ODOM RD
Mailing Address - Street 2:
Mailing Address - City:KITE
Mailing Address - State:GA
Mailing Address - Zip Code:31049-7048
Mailing Address - Country:US
Mailing Address - Phone:478-494-3663
Mailing Address - Fax:
Practice Address - Street 1:117 KITE RD
Practice Address - Street 2:
Practice Address - City:SWAINSBORO
Practice Address - State:GA
Practice Address - Zip Code:30401-3231
Practice Address - Country:US
Practice Address - Phone:478-289-1100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-06
Last Update Date:2017-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN215495363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care