Individual
WOODROW W GWINN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1812 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-5283
(865) 977-0916
(865) 984-3519
Mailing address
1812 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-5283
(865) 977-0916
(865) 984-3519
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
845
SC
111N00000X
Chiropractor
Primary
DC336
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3072063
BCBST
TN
01
—
350013505
RAILROAD MEDICARE NUMBER
TN
05
—
3674835
—
TN
05
—
3674838
—
TN
01
—
4111719
BCBST
TN
01
—
4159000
BCBST
TN
01
—
97802
BCBST
TN
Enumeration date
08/09/2005
Last updated
05/21/2020
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