Individual
MR. IVEY BOB WOODARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ANP
Contact information
Practice address
501 HOUSTON ST, CHATTANOOGA, TN 37403-3409
(423) 425-4453
(423) 425-2266
Mailing address
7276 FALCON BLUFF DR, SIGNAL MOUNTAIN, TN 37377-2864
(423) 517-0986
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN0000012412
TN
Other
Enumeration date
01/12/2007
Last updated
10/20/2008
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