IndividualActive
Robert Woodruff, D.P.M., P.A.
NPI 1336220177 · Foot Surgery Podiatrist · Jackson, MS
Provider details
- NPI number
- 1336220177
- Entity type
- Individual
- Primary specialty
- Foot Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- D.P.M., P.A.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 80102 (MS)
Practice location
3855 Azalea Drive
Jackson, MS 39206-5105
Phone: (601) 366-7063
Fax: (601) 366-7860
Mailing address
1055 Hubb Rd
Bolton, MS 39041-8500
Registry dates
- Enumerated
- 2006-10-18
- Last updated
- 2021-09-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.