Provider Demographics
NPI:1679739825
Name:WOODS, CHARLES REGINALD III (MD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:REGINALD
Last Name:WOODS
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:275 PROFESSIONAL CT
Mailing Address - Street 2:SUITE B
Mailing Address - City:RIVERDALE
Mailing Address - State:GA
Mailing Address - Zip Code:30274-2531
Mailing Address - Country:US
Mailing Address - Phone:770-907-0554
Mailing Address - Fax:770-907-9048
Practice Address - Street 1:275 PROFESSIONAL CT
Practice Address - Street 2:SUITE B
Practice Address - City:RIVERDALE
Practice Address - State:GA
Practice Address - Zip Code:30274-2531
Practice Address - Country:US
Practice Address - Phone:770-907-0554
Practice Address - Fax:770-907-9048
Is Sole Proprietor?:No
Enumeration Date:2008-08-06
Last Update Date:2016-12-06
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Provider Licenses
StateLicense IDTaxonomies
GA0696732085R0001X, 2085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology