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1720138324
IVEY BOB WOODARD
CHATTANOOGA, TN
NPI
1720138324
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: TN APN0000012412)
Enumeration Date
2007-01-12
Last Update Date
2008-10-20
Business Address
MR. IVEY BOB WOODARD ANP
501 HOUSTON ST
CHATTANOOGA, TN 37403-3409
Phone number: 423-425-4453
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Mailing Address
MR. IVEY BOB WOODARD ANP
7276 FALCON BLUFF DR
SIGNAL MOUNTAIN, TN 37377-2864
Phone number: 423-517-0986
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