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NPI Code Detail

MEDICARE: DR. CHARLES REECE WOODS JR. MD

MEDICARE: DR. CHARLES REECE WOODS JR. 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 Physician58055TN
2208000000XPediatrics Physician40365KY
32080P0208XPediatric Infectious Diseases Physician40365KY
42080P0208XPediatric Infectious Diseases Physician58055TN

General Provider Information

NPI Number : 1982688065
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHARLES REECE WOODS JR. MD
Provider Business Mailing Address
First Line : 910 BLACKFORD ST
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37403-1405
Country : US
Telephone Number : 423-778-7289
Fax Number : 423-778-6848
Provider Business Practice Location Address
First Line : 910 BLACKFORD ST
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37403-1405
Country : US
Telephone Number : 423-778-7289
Fax Number : 423-778-6848
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2005
Last Update Date : 02/28/2019

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