Organization
NORTHEAST TENNESSEE EMERGENCY PHYSICIANS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MARK WOODARD MD (PRESIDENT)
(423) 946-9791
Entity
Organization
Contact information
Practice address
127 HEALTH CARE DR, PENNINGTON GAP, VA 24277-2853
(276) 546-7440
(386) 274-7891
Mailing address
PO BOX 11827, DAYTONA BEACH, FL 32120-1827
(888) 311-8760
(386) 274-7891
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
09/12/2011
Last updated
09/12/2011
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