Individual
MR. JERRY L WOOLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
80 HOSPITAL DR STE 2, BARBOURVILLE, KY 40906-7363
(606) 545-4460
(606) 545-4469
Mailing address
80 HOSPITAL DR STE 2, BARBOURVILLE, KY 40906-7363
(606) 545-4460
(606) 545-4469
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
15458
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64154586
—
KY
Enumeration date
08/11/2006
Last updated
02/14/2019
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