Provider Demographics
NPI:1477753531
Name:FRISBEE, WOODROW DWIGHT JR (MD)
Entity type:Individual
Prefix:DR
First Name:WOODROW
Middle Name:DWIGHT
Last Name:FRISBEE
Suffix:JR
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 1:2435 GRANDALE DR
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30041-1582
Mailing Address - Country:US
Mailing Address - Phone:770-781-4691
Mailing Address - Fax:770-781-4691
Practice Address - Street 1:2435 GRANDALE DR
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30041-1582
Practice Address - Country:US
Practice Address - Phone:770-781-4691
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-18
Last Update Date:2007-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA35122208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery