Organization
WJG MULTISPECIALTY CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WOODRUFF HALL BAUM (CEO)
(646) 568-0193
Entity
Organization
Contact information
Practice address
625 BROADWAY # 625A, BANGOR, ME 04401-3375
(207) 605-5593
(207) 407-7289
Mailing address
4900 CENTENNIAL BLVD STE 300, NASHVILLE, TN 37209-1105
(615) 364-8603
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Enumeration date
03/11/2026
Last updated
03/11/2026
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