Individual
DAVID W UNDERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2273 N HIGHLAND AVE, SUITE B, JACKSON, TN 38305-4909
(731) 664-9977
(731) 664-9484
Mailing address
2273 N HIGHLAND AVE, SUITE B, JACKSON, TN 38305-4909
(731) 664-9977
(731) 664-9484
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD0000019471
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3044467
—
TN
01
—
4077483
BCBS
—
01
—
6959071
CIGNA
—
Enumeration date
06/13/2006
Last updated
07/08/2007
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