Jack R Woodside in Mountain Home - Family Medicine
Jack R Woodside - NPI 1619953494
Jack R Woodside is a Family Medicine in Mountain Home, Tennessee. Jack R Woodside practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jack R Woodside is 1619953494. The last update date is 2010-11-08.
Jack R Woodside's current location address is P.o.box 699, Mountain Home, Tennessee. You can contact this provider via phone number 4234396464 and fax number 4234397118. The mailing address for Jack R Woodside is P.o.box 699, Mountain Home, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack R Woodside |
|---|---|
| Address | P.o.box 699, Mountain Home, Tennessee |
| Phone Number | 4234396464 |
| Fax Number | 4234397118 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1619953494 |
|---|---|
| Provider Enumeration Date | 2005-12-22 |
| Last Updated Date | 2010-11-08 |
Provider Mailing Address Detail
| Address | P.o.box 699 |
|---|---|
| City | Mountain Home |
| State | Tennessee (TN) |
| Post Code | 37684 |
| Phone Number | 4234396464 |
| Fax Number | 4234397118 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 17275 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jack R Woodside by the Centers for Medicare & Medicaid Services?
The Jack R Woodside has been issued the NPI (National Provider Identifier) 1619953494 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Jack R Woodside is geographically located?
The Jack R Woodside is physically situated at the following location: P.O.Box 699, Mountain Home, TN, 37684.
What is Jack R Woodside's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jack R Woodside is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
On what date was the 1619953494 assigned to Jack R Woodside?
The Jack R Woodside was issued its 1619953494 on 2005-12-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Jack R Woodside most recently updated or refreshed?
The details pertaining to the Jack R Woodside, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-11-08.