Provider Demographics
NPI:1851706899
Name:WOODS, JAMES
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:WOODS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2538 HIGHWAY 301 S
Mailing Address - Street 2:SUITE C
Mailing Address - City:DILLON
Mailing Address - State:SC
Mailing Address - Zip Code:29536-8217
Mailing Address - Country:US
Mailing Address - Phone:843-774-4117
Mailing Address - Fax:843-774-4194
Practice Address - Street 1:2538 HIGHWAY 301 S
Practice Address - Street 2:SUITE C
Practice Address - City:DILLON
Practice Address - State:SC
Practice Address - Zip Code:29536-8217
Practice Address - Country:US
Practice Address - Phone:843-774-4117
Practice Address - Fax:843-774-4194
Is Sole Proprietor?:No
Enumeration Date:2014-06-29
Last Update Date:2014-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC146N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic