# JIMMIE D. WOODLEE MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700833829
- **Authorized official:** DR. JIMMIE DALE WOODLEE M.D. (PHYSICIAN)
- **Authorized official phone:** (931) 473-4214

## Contact information

- **Practice address:** 155 HEALTH WAY, SUITE 2, MC MINNVILLE, TN 37110-2658
- **Practice address phone:** (931) 473-4214
- **Practice address fax:** (931) 473-0666
- **Mailing address:** 155 HEALTH WAY, SUITE 2, MC MINNVILLE, TN 37110-2658
- **Mailing address phone:** (931) 473-4214
- **Mailing address fax:** (931) 473-0666

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/27/2006
- **Last updated:** 05/16/2008