MEDICARE: WOOLFORK ENTERPRISES, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1609955046
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOOLFORK ENTERPRISES, INC

Provider Business Mailing Address
First Line	:	739 PRESIDENT PL STE 140
Second Line	:	PHYSCIAN PLAZA II
City	:	SMYRNA
State	:	TN
Zip	:	37167-6845
Country	:	US
Telephone Number	:	615-223-7700
Fax Number	:	615-223-7722

Provider Business Practice Location Address
First Line	:	739 PRESIDENT PL STE 140
Second Line	:	PHYSCIAN PLAZA II
City	:	SMYRNA
State	:	TN
Zip	:	37167-6845
Country	:	US
Telephone Number	:	615-223-7700
Fax Number	:	615-223-7722

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. SANDRA CANONGE WILSON
Credential	:
Telephone Number	:	615-223-7700

Provider Enumeration Date	:	11/05/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1134064280 — CAMERON GRACE WIT
Practice Location Address:

739 PRESIDENT PL STE 110
SMYRNA, TN
37167-6845

Practice Phone: 615-852-5955
Practice Fax:

1083609689 — MISS RACHEL MORALES RICAFORT MD
Practice Location Address:

739 PRESIDENT PL STE 110
SMYRNA, TN
37167-6845

Practice Phone: 615-625-7780
Practice Fax: 615-625-7781

1760593511 — MRS. TAHNYA DUNN SEE M.D.
Practice Location Address:

739 PRESIDENT PL STE 140
SMYRNA, TN
37167-6845

Practice Phone: 615-223-7722
Practice Fax: 615-223-7722

1932454097 — VILMARIE J TANON MD
Practice Location Address:

739 PRESIDENT PL STE 110
SMYRNA, TN
37167-6845

Practice Phone: 615-628-7780
Practice Fax: 615-625-7781

1366860819 — DR. ALISHA JEFFERSON M.D.
Practice Location Address:

739 PRESIDENT PL STE 120
SMYRNA, TN
37167-6845

Practice Phone: 615-768-5003
Practice Fax:

1407311392 — JULIA ALEXANDRA BYRD
Practice Location Address:

739 PRESIDENT PL STE 110
SMYRNA, TN
37167-6845

Practice Phone: 615-625-7780
Practice Fax:

Directions to “WOOLFORK ENTERPRISES, INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.