Provider Demographics
NPI:1831607530
Name:WOODARD, HEMONIA (CNA)
Entity type:Individual
Prefix:MS
First Name:HEMONIA
Middle Name:
Last Name:WOODARD
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:370 COMET DR
Mailing Address - Street 2:
Mailing Address - City:WINNSBORO
Mailing Address - State:SC
Mailing Address - Zip Code:29180-6796
Mailing Address - Country:US
Mailing Address - Phone:803-981-3985
Mailing Address - Fax:
Practice Address - Street 1:370 COMET DR
Practice Address - Street 2:
Practice Address - City:WINNSBORO
Practice Address - State:SC
Practice Address - Zip Code:29180-6796
Practice Address - Country:US
Practice Address - Phone:803-981-3985
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-16
Last Update Date:2018-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC376K00000X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No376K00000XNursing Service Related ProvidersNurse's Aide