Organization
JERRY L. WOOLUM, M.D., P.S.C.
Active
Other names
WOOLUM & COMBS-WOOLUM, P.S.C.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY L WOOLUM MD (MD)
(606) 337-0860
Entity
Organization
Contact information
Practice address
121 VIRGINIA AVENUE, SUITE F200, PINEVILLE, KY 40977
(606) 337-0860
(606) 337-9956
Mailing address
121 VIRGINIA AVENUE, SUITE F200, PINEVILLE, KY 40977
(606) 337-0860
(606) 337-9956
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65936379
—
KY
Enumeration date
08/14/2006
Last updated
10/14/2014
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