Provider Demographics
NPI:1720256282
Name:WOODROW BATTEN MD PA
Entity Type:Organization
Organization Name:WOODROW BATTEN MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WOODROW
Authorized Official - Middle Name:
Authorized Official - Last Name:BATTEN
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:919-934-2003
Mailing Address - Street 1:720 SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:SMITHFIELD
Mailing Address - State:NC
Mailing Address - Zip Code:27577-3848
Mailing Address - Country:US
Mailing Address - Phone:919-934-2003
Mailing Address - Fax:919-894-7659
Practice Address - Street 1:720 SUNSET DR
Practice Address - Street 2:
Practice Address - City:SMITHFIELD
Practice Address - State:NC
Practice Address - Zip Code:27577-3848
Practice Address - Country:US
Practice Address - Phone:919-934-2003
Practice Address - Fax:919-894-7659
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-18
Last Update Date:2015-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC07102174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC13780OtherBCBS OF NC
NC8913780Medicaid
NC8913780Medicaid