Provider Demographics
NPI:1851437065
Name:WOODS, KEVIN EDWIN (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:EDWIN
Last Name:WOODS
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Gender:M
Credentials:MD, MPH
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Other - First Name:
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Mailing Address - Street 1:3925 PEACHTREE RD NE STE 200
Mailing Address - Street 2:
Mailing Address - City:BROOKHAVEN
Mailing Address - State:GA
Mailing Address - Zip Code:30319-2982
Mailing Address - Country:US
Mailing Address - Phone:770-400-9186
Mailing Address - Fax:404-909-8655
Practice Address - Street 1:3925 PEACHTREE RD NE STE 200
Practice Address - Street 2:
Practice Address - City:BROOKHAVEN
Practice Address - State:GA
Practice Address - Zip Code:30319-2982
Practice Address - Country:US
Practice Address - Phone:770-400-9186
Practice Address - Fax:404-909-8655
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA68023207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology