Organization
JIMMIE D. WOODLEE MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIMMIE DALE WOODLEE M.D. (PHYSICIAN)
(931) 473-4214
Entity
Organization
Contact information
Practice address
155 HEALTH WAY, SUITE 2, MC MINNVILLE, TN 37110-2658
(931) 473-4214
(931) 473-0666
Mailing address
155 HEALTH WAY, SUITE 2, MC MINNVILLE, TN 37110-2658
(931) 473-4214
(931) 473-0666
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3719062
—
TN
Enumeration date
05/27/2006
Last updated
05/16/2008
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