Individual
GEORGE R WOODBURY SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 HIGHWAY 201 N, MOUNTAIN HOME, AR 72653-2440
(870) 425-0672
(870) 425-0796
Mailing address
PO BOX 1716, MOUNTAIN HOME, AR 72654-1716
(901) 682-5606
(901) 682-7853
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD3499
TN
Other
Enumeration date
11/09/2006
Last updated
05/23/2016
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