Provider Demographics
NPI:1356361000
Name:WOO, DAVID S (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:S
Last Name:WOO
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1240 JESSE JEWELL PKWY SE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30501-3862
Mailing Address - Country:US
Mailing Address - Phone:770-532-8438
Mailing Address - Fax:770-535-1785
Practice Address - Street 1:1240 JESSE JEWELL PKWY
Practice Address - Street 2:SUITE 200
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501-3862
Practice Address - Country:US
Practice Address - Phone:770-532-8438
Practice Address - Fax:770-535-1785
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2012-05-17
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Provider Licenses
StateLicense IDTaxonomies
GA054951208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAP00170444OtherMCR RR
GAP00170444OtherMCR RR
GA34BDDLHMedicare PIN