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NPI Code Detail

MEDICARE: WOO JAE SHIN

MEDICARE: WOO JAE SHIN
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1851237598
Entity Type Code : Individual
Provider Name (Legal Business Name) : WOO JAE SHIN
Provider Business Mailing Address
First Line : 3041 BATES DR
Second Line :
City : PROSPER
State : TX
Zip : 75078-2623
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1211 MEDICAL CENTER DR
Second Line :
City : NASHVILLE
State : TN
Zip : 37232-0004
Country : US
Telephone Number : 615-322-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2026
Last Update Date : 04/27/2026

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Directions to “ WOO JAE SHIN ” Practice Location

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