Physician Compare National (NPI:1114097938)

HEALTHCARE PROVIDER: GEORGE R WOODBURY SR. MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1114097938
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4880727817
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100728000499
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	WOODBURY
	Individual professional last name
Provider First Name	GEORGE
	Individual professional first name
Provider Name Suffix Text	SR.
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1959
	Individual professional's medical school graduation year
Primary Specialty	OPHTHALMOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	2338 HWY 25B NO
	Group Practice or individual's line 1 address
City	HEBER SPRINGS
	Group Practice or individual's city
State	AR
	Group Practice or individual's state
Zip Code	725436215
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9014939181
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y