Individual
WALTER W. WOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 BAPTIST MEMORIAL CIR STE 201, OXFORD, MS 38655-4476
(901) 271-1000
(901) 271-4187
Mailing address
8060 WOLF RIVER BLVD, GERMANTOWN, TN 38138-1727
(901) 271-1000
(901) 271-4187
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
11097
MS
207RI0011X
Interventional Cardiology Physician
Primary
11097
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00114996
—
MS
Enumeration date
07/09/2006
Last updated
11/17/2017
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