JACK R WOODSIDE

JOHNSON CITY, TN
NPI1619953494
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: TN  17275)
Enumeration Date2005-12-22
Last Update Date2010-11-08
Business Address
-- JACK R WOODSIDE M.D.
917 W WALNUT ST
JOHNSON CITY, TN 37604-6527
Phone number: 423-439-6464
Mailing Address
-- JACK R WOODSIDE M.D.
P.O.BOX 699
MOUNTAIN HOME, TN 37684
Phone number: 423-439-6464
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