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NPI Code Detail

MEDICARE: ZAKIYA DONELSON WOODS MD

MEDICARE: ZAKIYA DONELSON WOODS 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
1208000000XPediatrics Physician48834TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770710071
Entity Type Code : Individual
Provider Name (Legal Business Name) : ZAKIYA DONELSON WOODS MD
Provider Business Mailing Address
First Line : 2595 CENTRAL AVE
Second Line :
City : MEMPHIS
State : TN
Zip : 38104-5905
Country : US
Telephone Number : 901-260-8500
Fax Number : 901-260-8598
Provider Business Practice Location Address
First Line : 3481 AUSTIN PEAY HWY
Second Line :
City : MEMPHIS
State : TN
Zip : 38128-3801
Country : US
Telephone Number : 901-260-8500
Fax Number : 901-260-8598
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2009
Last Update Date : 09/02/2016

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Directions to “ ZAKIYA DONELSON WOODS MD” Practice Location

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