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Individual
DR. CHARLES J WOODALL
Active
Individual
DR. CHARLES J WOODALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MO17430
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
126153
BCBS, TN
TN
01
—
140381
UNITED HEALTHCARE
TN
01
—
2628850
CIGNA
TN
01
—
4106687
AETNA
TN
Enumeration date
08/30/2005
Last updated
10/25/2016
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