Dr. Bonnie N. Woodall
M.D. | Pediatric Emergency Medicine | Female
Dr. Bonnie N. Woodall, M.D. is a Jackson, Mississippi based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Dr. Bonnie N. Woodall is
2500 N State St, Jackson, Mississippi - 39216-4500. She can be contacted on phone at
601-984-2195 and fax number 601-815-1050.
Dr. Bonnie N. Woodall is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Bonnie N. Woodall is
1134155971 which was assigned by NPPES on 23 Jun, 2006 and it was last updated on 15 Aug, 2016.
Dr. Bonnie N. Woodall license number is
11066 for Pediatrics Pediatric Emergency Medicine (2080P0204X) in Mississippi.
Dr. Bonnie N. Woodall has special qualifications to manage emergencies in infants and children.
Complete Profile:
Dr. Bonnie N. Woodall basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Emergency Medicine |
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| Provider Name : | Dr. Bonnie N. Woodall |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Dr. Bonnie N. Woodall address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2500 N State St
Jackson, MS, 39216-4500
United States |
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| Phone Number : | 601-984-2195 |
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| Fax Number : | 601-815-1050 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1134155971 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 23 Jun, 2006 |
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| Last Updated On : | 15 Aug, 2016 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Bonnie N. Woodall are as mentioned. Primary taxonomy code for Dr. Bonnie N. Woodall, M.D. is
2080P0204X (Pediatrics Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | 11066 | MS |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Bonnie N. Woodall such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 1656631 | MEDICAID | LA | |
| 00010725 | MEDICAID | MS | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2500 N State St
Jackson, MS, 39216-4500
United States |
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| Phone Number : | 601-984-2195 |
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| Fax Number : | 601-815-1050 |
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Business Location:
Patients can refer following map for directions to
Dr. Bonnie N. Woodall practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.