# CANNON COUNTY HEALTHCARE PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Woodbury Medical Center, Woodbury Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386667244
- **Authorized official:** JEFF TODD (PHYSICIAN OWNER)
- **Authorized official phone:** (615) 563-2891

## Contact information

- **Practice address:** 205 S MCCRARY ST, WOODBURY, TN 37190-1439
- **Practice address phone:** (615) 563-2891
- **Practice address fax:** (615) 563-4582
- **Mailing address:** 205 S MCCRARY ST, WOODBURY, TN 37190-1420
- **Mailing address phone:** (615) 563-2891
- **Mailing address fax:** (615) 563-4582

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD34850 | TN | Yes |

## Other

- **Enumeration date:** 07/25/2006
- **Last updated:** 07/23/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3370878 | — | TN |
