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Individual

DR. JIMMIE DALE WOODLEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

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
MD0000019065
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3719062
TN
Enumeration date
06/06/2006
Last updated
05/13/2015
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