Organization
WOODLAND MEDICAL PLLC
Active
Organization
WOODLAND MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLEEN CARBERRY (MANAGER)
(423) 648-2053
Entity
Organization
Contact information
Practice address
6221 SHALLOWFORD RD STE 100, CHATTANOOGA, TN 37421-1972
(423) 648-2053
Mailing address
6221 SHALLOWFORD RD STE 100, CHATTANOOGA, TN 37421-1972
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/20/2018
Last updated
09/17/2018
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