Provider Demographics
NPI:1013235175
Name:WOODS, FLORENCE EMOGENE (RN)
Entity Type:Individual
Prefix:
First Name:FLORENCE
Middle Name:EMOGENE
Last Name:WOODS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 AXTELL DR
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29485-3421
Mailing Address - Country:US
Mailing Address - Phone:843-814-8309
Mailing Address - Fax:
Practice Address - Street 1:124 AXTELL DR
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29485-3421
Practice Address - Country:US
Practice Address - Phone:843-814-8309
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-12
Last Update Date:2010-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA646757163W00000X
SC518936163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse