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Individual

JESSY G. WOODS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1436 LOCUST ST, TERRE HAUTE, IN 47807-1648
(812) 232-7447
(812) 232-6962
Mailing address
1436 LOCUST ST, TERRE HAUTE, IN 47807-1648
(122) 327-4478
(812) 232-6962

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01062542A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
153868
RURAL HEALTH MEDICARE
IN
05
200868190
IN
Enumeration date
04/20/2007
Last updated
12/07/2020
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