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Individual
DEXTER L WOODS III
Active
Individual
DEXTER L WOODS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35226
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3866629
—
TN
01
—
4052528
STONES RIVER IPA
TN
01
—
4052668
BCBS
TN
01
—
64065949
KY MEDICAID
KY
Enumeration date
07/03/2006
Last updated
06/10/2010
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