Individual
RONALD H WOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
420 W MORRIS BLVD, HEALTH STAR PHYSICIANS STE 400B, MORRISTOWN, TN 37813
(423) 586-2410
(423) 581-9692
Mailing address
420 W MORRIS BLVD, HEALTH STAR PHYSICIANS STE 400B, MORRISTOWN, TN 37813
(423) 586-2410
(423) 581-9692
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA314
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3669317
—
TN
Enumeration date
05/15/2006
Last updated
06/25/2008
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