Provider Demographics
NPI:1922192855
Name:WOODARD, CARLA B (NP)
Entity Type:Individual
Prefix:
First Name:CARLA
Middle Name:B
Last Name:WOODARD
Suffix:
Gender:F
Credentials:NP
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1924 ALCOA HWY
Mailing Address - Street 2:UT INTERNAL MEDICINE & OB/GYN CENTER
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37920-1511
Mailing Address - Country:US
Mailing Address - Phone:865-544-8787
Mailing Address - Fax:865-544-8260
Practice Address - Street 1:1924 ALCOA HWY
Practice Address - Street 2:UT INTERNAL MEDICINE & OB/GYN CENTER
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920-1511
Practice Address - Country:US
Practice Address - Phone:865-544-8787
Practice Address - Fax:865-544-8260
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN5230363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health