Individual
JACOB TANNER WOOLDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4301 W MARKHAM ST, LITTLE ROCK, AR 72205-7199
(501) 686-8000
Mailing address
PO BOX 251420, LITTLE ROCK, AR 72225-1420
(501) 686-8000
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
BP10053405
TX
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
E-14941
AR
Other
Enumeration date
05/08/2015
Last updated
12/01/2021
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