Healthcare Provider Details

I. General information

NPI: 1215371570
Provider Name (Legal Business Name): STEVEN ALEXANDER WOODS JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2013
Last Update Date: 07/07/2023
Certification Date: 07/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5050 POPLAR AVE STE 800
MEMPHIS TN
38157-0800
US

IV. Provider business mailing address

956 COURT AVE H314D
MEMPHIS TN
38163
US

V. Phone/Fax

Practice location:
  • Phone: 901-276-2662
  • Fax: 901-274-2033
Mailing address:
  • Phone: 901-448-5704
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number54409
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number54409
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: