Individual provider · Type 1 NPI
Thai Thao Woodcock, CSFA
Surgical Physician Assistant · Gulfport, MS
NPI number
1194466813
Active
Practice location
15085 Ranier Ave
Gulfport, MS 39503-4650
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 208458 (MS) |
Surgical Physician Assistant: Definition to come...
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About NPI 1194466813
Thai Thao Woodcock, CSFA's National Provider Identifier is 1194466813, issued on Apr 5, 2022. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Gulfport, MS. The record was last updated on Sep 27, 2026.