Individual
DR. DAVID LEE WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
325 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604-6056
(423) 439-7320
(423) 439-7343
Mailing address
PO BOX 699, MOUNTAIN HOME, TN 37684-0699
(423) 433-6039
(423) 433-6060
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
51881
TN
2083P0901X
Public Health & General Preventive Medicine Physician
ME74080
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000959109B
—
GA
05
—
2648512-00
—
FL
01
—
370021674
RAILROAD MEDICARE
FL
01
—
3714470
GROUP TN MEDICARE #
TN
Enumeration date
03/17/2006
Last updated
10/07/2014
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