Provider Demographics
NPI:1841695319
Name:HILLARY WOODSON MD PC
Entity type:Organization
Organization Name:HILLARY WOODSON MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HILLARY
Authorized Official - Middle Name:
Authorized Official - Last Name:WOODSON GASKINS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-300-4022
Mailing Address - Street 1:6501 RED HOOK PLZ
Mailing Address - Street 2:SUITE 201
Mailing Address - City:ST THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00802-1373
Mailing Address - Country:US
Mailing Address - Phone:301-300-4022
Mailing Address - Fax:
Practice Address - Street 1:9150 ESTATE THOMAS STE 201
Practice Address - Street 2:
Practice Address - City:ST THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802-2400
Practice Address - Country:US
Practice Address - Phone:340-776-4325
Practice Address - Fax:888-696-1114
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-27
Last Update Date:2020-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty