Provider Demographics
NPI:1952305799
Name:WOODFORD, HOWARD DOUGLAS (MD)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:DOUGLAS
Last Name:WOODFORD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:156 TITAN DRIVE
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35630-5320
Mailing Address - Country:US
Mailing Address - Phone:256-740-0690
Mailing Address - Fax:256-740-0694
Practice Address - Street 1:156 TITAN DRIVE
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35630-5320
Practice Address - Country:US
Practice Address - Phone:256-740-0690
Practice Address - Fax:256-740-0694
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL12689207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000088220Medicaid
AL4118092OtherAETNA
AL000566533OtherTRICARE
AL7410293OtherUNITED HEALTHCARE
AL51088220OtherBLUE CROSS BLUE SHIELD
AL000088220Medicaid
000088220Medicare PIN