MEDICARE: JOHN F WORTHMAN MD

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	174400000X	Specialist	16972	TN

General Provider Information

NPI Number	:	1093708091
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN F WORTHMAN MD

Provider Business Mailing Address
First Line	:	1222 TROTWOOD AVE
Second Line	:	SUITE 603
City	:	COLUMBIA
State	:	TN
Zip	:	38401-6436
Country	:	US
Telephone Number	:	931-381-3872
Fax Number	:	931-381-3883

Provider Business Practice Location Address
First Line	:	1222 TROTWOOD AVE
Second Line	:	SUITE 603
City	:	COLUMBIA
State	:	TN
Zip	:	38401-6436
Country	:	US
Telephone Number	:	931-381-3872
Fax Number	:	931-381-3883

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/24/2005
Last Update Date	:	07/08/2007

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Directions to “ JOHN F WORTHMAN MD” Practice Location

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