Organization
WOOSLEY MEDICAL REHAB AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLTON ALAN WOOSLEY JR. APN (PRESIDENT)
(615) 859-6644
Entity
Organization
Contact information
Practice address
913 CONFERENCE DR, SUITE 103, GOODLETTSVILLE, TN 37072-1991
(615) 859-6644
Mailing address
913 CONFERENCE DR, SUITE 103, GOODLETTSVILLE, TN 37072-1991
(615) 859-6644
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
APN18975
TN
261QP2300X
Primary Care Clinic/Center
Primary
APN18975
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q010073
—
TN
Enumeration date
12/06/2016
Last updated
12/19/2016
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