Woolfork Enterprises, Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

WOOLFORK ENTERPRISES, INC

Practice address

739 President PL Ste 140
Physcian Plaza II
Smyrna, TN 37167-6845

Phone

(615) 223-7700

Fax

(615) 223-7722

NPI assigned

Nov 5, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Sandra Canonge Wilson

Title

President

Phone

(615) 223-7700

Specialties & licenses 1

Addresses

Other names 1

• PRESIDENTIAL HEALTHCARE Other name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609955046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 PRESIDENT PL STE 140",
            "address_2": "PHYSCIAN PLAZA II",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676845",
            "telephone_number": "615-223-7700",
            "fax_number": "615-223-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 PRESIDENT PL STE 140",
            "address_2": "PHYSCIAN PLAZA II",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676845",
            "telephone_number": "615-223-7700",
            "fax_number": "615-223-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOOLFORK ENTERPRISES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "CANONGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-223-7700",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRESIDENTIAL HEALTHCARE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cynthia Leigh Wood, OTRL OTD
• Lisa C Wood, NP
• Tessa Wood
• Gilbert Earl Woodall Jr., M.D.
• Megan Kathleen Woodward, M.D.
• Olivia Noel Work
• Hayley Wray
• Emma Wright
• Nicole Wright
• Kristi Wysocki, NBC-HWC

• All providers in Smyrna, TN
• Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.