Provider Demographics
NPI:1962626242
Name:WOODE, DWAIN E (MD)
Entity Type:Individual
Prefix:DR
First Name:DWAIN
Middle Name:E
Last Name:WOODE
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:PO BOX 16099
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35802-1662
Mailing Address - Country:US
Mailing Address - Phone:256-881-2700
Mailing Address - Fax:866-966-9740
Practice Address - Street 1:1 HOSPITAL DR SW
Practice Address - Street 2:SUITE 300
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-6455
Practice Address - Country:US
Practice Address - Phone:256-881-2700
Practice Address - Fax:866-966-9740
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2011-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL30882207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism