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Jack R Woodside, MD
Family Medicine Physician in Johnson City, Tennessee
NPI 1619953494

Jack R Woodside is a Family Medicine Physician based in Mountain Home, TN. Jack R Woodside practices in Johnson City, TN and has the professional credentials of MD. The NPI Number for Jack R Woodside is 1619953494 and holds a License No. 17275 (Tennessee).

The current practice location address for Jack R Woodside is 917 W Walnut St, Johnson City, TN and can be reached out via phone at 423-439-6464 and via fax at 423-439-7118. You can also correspond with Jack R Woodside through the mailing address at P.O.BOX 699, MOUNTAIN HOME, TN - 37684 (mailing address contact number: 423-439-6464).

Location: 917 W Walnut St, Johnson City, TN, 37684
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619953494
Provider Name
Jack R Woodside
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
917 W Walnut St, Johnson City, TN, 37684
Phone Number
423-439-6464
Fax Number
423-439-7118
Provider Enumeration Date
12/22/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
917 W Walnut St
City
Johnson City
State
Tennessee
Zip
37604-6527
Phone Number
423-439-6464
Fax Number
423-439-7118
person
Provider Business Mailing Address Details
Address
917 W Walnut St
City
Johnson City
State
Tennessee
Zip
37604-6527
Phone Number
423-439-6464
Fax Number
423-439-7118
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
17275 (Tennessee)
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 is not limited by age, sex, organ system, or disease entity.
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