Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Woodly Terry Dominique

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1457081507

Woodly Terry Dominique is a Student in an Organized Health Care Education/Training Program in Moultrie, Georgia. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022
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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Moultrie, GA

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Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1457081507
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 13, 2022
Last updated in NPPESJune 13, 2022
Certification dateJune 13, 2022

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