Jimmie D. Woodlee MD

Organization Active NPI Family Medicine Physician · MC Minnville, TN

NPI 1700833829 · NPPES record last updated May 16, 2008

Key facts

NPI
1700833829
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
JIMMIE D. WOODLEE MD
Practice address
155 Health Way
Suite 2
MC Minnville, TN 37110-2658
Phone
(931) 473-4214
Fax
(931) 473-0666
NPI assigned
May 27, 2006
Organization subpart
No

Authorized official

Name
Dr. Jimmie Dale Woodlee, M.D.
Title
Physician
Phone
(931) 473-4214

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Q00000X Yes

Addresses

Primary practice location

155 Health Way
Suite 2
MC Minnville, TN 37110-2658

Mailing address

155 Health Way
Suite 2
MC Minnville, TN 37110-2658
Phone (931) 473-4214

Other identifiers

IdentifierTypeStateIssuer
3719062MedicaidTN

Other providers in MC Minnville, TN

All providers in MC Minnville, TN · Family Medicine Physician in Tennessee

Sources for this page

Verify at the official NPI Registry.