Provider Demographics
NPI:1265938062
Name:WOODSON, MACKENZIE FLYNN (MD)
Entity type:Individual
Prefix:DR
First Name:MACKENZIE
Middle Name:FLYNN
Last Name:WOODSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:408 1ST ST N STE 200
Mailing Address - Street 2:
Mailing Address - City:ALABASTER
Mailing Address - State:AL
Mailing Address - Zip Code:35007-9270
Mailing Address - Country:US
Mailing Address - Phone:205-664-9995
Mailing Address - Fax:205-621-9327
Practice Address - Street 1:408 1ST ST N STE 200
Practice Address - Street 2:
Practice Address - City:ALABASTER
Practice Address - State:AL
Practice Address - Zip Code:35007-9270
Practice Address - Country:US
Practice Address - Phone:205-664-9995
Practice Address - Fax:205-621-9327
Is Sole Proprietor?:No
Enumeration Date:2018-04-02
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL44565207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology