Provider Demographics
NPI:1649893710
Name:WOODY, DELEAH MARIE
Entity type:Individual
Prefix:
First Name:DELEAH
Middle Name:MARIE
Last Name:WOODY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2389 PEELER ST
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-6946
Mailing Address - Country:US
Mailing Address - Phone:828-403-4849
Mailing Address - Fax:
Practice Address - Street 1:2389 PEELER ST
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-6946
Practice Address - Country:US
Practice Address - Phone:828-403-4849
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-24
Last Update Date:2020-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula