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Individual

DEXTER L WOODS III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
400 N HIGHLAND AVE, MURFREESBORO, TN 37130-3837
(800) 596-3455
(615) 396-6963
Mailing address
1 VANTAGE WAY, SUITE B240, NASHVILLE, TN 37228-1515
(615) 329-4020
(615) 327-4403

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35226
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3866629
TN
01
4052528
STONES RIVER IPA
TN
01
4052668
BCBS
TN
01
64065949
KY MEDICAID
KY
Enumeration date
07/03/2006
Last updated
06/10/2010
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