Individual
ROGER L WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 W CHURCH ST, LEXINGTON, TN 38351-2014
(731) 968-3646
Mailing address
218 WILLOW GREEN DR, JACKSON, TN 38305-5364
(731) 664-6296
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
27317
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3836641
—
TN
05
—
3836643
—
TN
Enumeration date
10/24/2006
Last updated
07/09/2007
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