Organization
JOHN B WOODS, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA I BENNETT LPN (OFFICE MANAGER)
(731) 664-7949
Entity
Organization
Contact information
Practice address
29-C NORTHSTAR DRIVE, JACKSON, TN 38305
(731) 664-7949
(731) 664-6141
Mailing address
29-C NORTHSTAR DRIVE, JACKSON, TN 38305
(731) 664-7949
(731) 664-6141
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21758
TN
261Q00000X
Clinic/Center
21758
TN
261QP2300X
Primary Care Clinic/Center
21758
TN
Other
Enumeration date
07/08/2006
Last updated
06/21/2012
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