Organization
NORTHEAST TENNESSEE EMERGENCY PHYSICIANS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN M WOODARD MD (PRESIDENT)
(423) 239-9737
Entity
Organization
Contact information
Practice address
1 MEDICAL PARK BLVD, BRISTOL, TN 37620-7430
(423) 239-9737
(423) 398-5500
Mailing address
PO BOX 11827, DAYTONA BEACH, FL 32120-1827
(423) 239-9737
(423) 398-5500
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3728275
—
TN
Enumeration date
02/17/2006
Last updated
07/21/2022
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