Individual
LARRY WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 LOGANBERRY LN, KNOXVILLE, TN 37934-4693
(865) 643-8666
Mailing address
400 LOGANBERRY LN, KNOXVILLE, TN 37934-4693
(865) 643-8666
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
0283123
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0283123
KNOX COUNTY, TN BUSINESS LICENSE
TN
Enumeration date
02/13/2014
Last updated
02/13/2014
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