| Edward Woo, MD | |
|
584 Hospital Dr, Suite B, Bolivia, NC 28422 | |
| (910) 721-4050 | |
| (910) 721-4051 |
| Full Name | Edward Woo |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 584 Hospital Dr, Bolivia, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760412043 | NPI | - | NPPES |
| 5918904 | Medicaid | NC | |
| 887938900 | Medicaid | MN | |
| 2011-01658 | Other | NC | NORTH CAROLINA MEDICAL BOARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 2011-01658 (North Carolina) | Primary |
| Entity Name | Vidant Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
| Entity Name | Outer Banks Professional Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891050357 PECOS PAC ID: 3173652096 Enrollment ID: O20100602000156 |
| Entity Name | Obhg North Carolina Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124300876 PECOS PAC ID: 3577721034 Enrollment ID: O20120301000114 |
| Mailing Address | Practice Location Address |
|---|---|
| Edward Woo, MD Po Box 60447, Charlotte, NC 28260-0447 Ph: (704) 384-7840 | Edward Woo, MD 584 Hospital Dr, Suite B, Bolivia, NC 28422 Ph: (910) 721-4050 |
Steven Christopher Nunns, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 584 Hospital Dr Ne Unit B, Bolivia, NC 28422 Phone: 910-721-4050 Fax: 910-721-4051 | |
Dr. Richard Lee Toler, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 584 Hospital Dr, Suite B, Bolivia, NC 28422 Phone: 910-721-4050 Fax: 910-721-4051 | |
Thao Nguyen, Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 584 Hospital Dr Ne Unit B, Bolivia, NC 28422 Phone: 910-721-4050 | |
Tracey Nicole Mccarthy, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 584 Hospital Dr, Suite B, Bolivia, NC 28422 Phone: 910-721-4050 Fax: 910-721-4051 | |
Michele Polidoro, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 584 Hospital Dr Ne Unit B, Bolivia, NC 28422 Phone: 910-721-4050 Fax: 910-721-4051 | |
Dr. John C Hisley, M.. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 25 Courthouse Dr Ne, Bolivia, NC 28422 Phone: 910-253-2250 Fax: 910-253-2370 |