Individual
FRED ASHLEY WOOLWINE JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
201 DOOLEY ST, CLEVELAND, TN 37311-6220
(423) 728-7020
(423) 479-6130
Mailing address
2103 CANDIES LN NW, CLEVELAND, TN 37312-2618
(423) 310-8585
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS0002748
TN
Other
Enumeration date
12/08/2005
Last updated
07/08/2007
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