Individual
TIMOTHY D WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1211 UNION AVE STE 965, MEMPHIS, TN 38104
(901) 272-6048
(414) 805-6280
Mailing address
P O BOX 1000 DEPT 960, MEMPHIS, TN 38148-0001
(901) 758-9900
(901) 752-2335
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
36586
WI
207RC0000X
Cardiovascular Disease Physician
Primary
50789
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009000315B
HUMANA
—
05
—
1720039761
—
WI
05
—
34019900
—
WI
Enumeration date
05/15/2006
Last updated
06/27/2019
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