Most Relevant Information
Provider Data
| NPI Number: | 1003515644 |
| Provider Name: | DEANNA WOMACK PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/02/2023 |
| Last Updated: | 11/17/2023 |
Provider Practice Location
471 CENTER ST
LUDLOW
MA
010562733
Practice Location Phone/Fax
| Phone: | 4136253500 |
| Fax: | 4136253655 |
Provider Mailing Location
360 US HIGHWAY 1 BYP UNIT 102
PORTSMOUTH
NH
038017105
Provider Mailing Phone/Fax
| Phone: | 6034106700 |
| Fax: | 6033198308 |