Individual
DR. JEFF TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
205 S MCCRARY ST, WOODBURY, TN 37190-1439
(615) 563-2891
(615) 563-4582
Mailing address
205 S MCCRARY ST, WOODBURY, TN 37190-1439
(615) 563-2891
(615) 563-4582
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD38269
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3895036
—
TN
01
—
4089844
BLUE CROSS BLUE SHIELD TN
TN
01
—
621852954
TAX ID
TN
Enumeration date
05/31/2006
Last updated
01/31/2011
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