Greenwood, Jeffrey D

Greenwood, Jeffrey D is an individual health care provider with primary practice located at 4330 Maynardville Hwy , Maynardville TN 37807-3618. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Greenwood, Jeffrey D can be contacted via phone (865) 992-3849.

Contact Information

Primary practice address
4330 Maynardville Hwy Maynardville TN 37807-3618
Fax: (865) 992-5166
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD14635 Tennessee

Profile Details

NPI number 1801894001
LBN Legal business name Greenwood, Jeffrey D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Apr 19th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801894001 NPPES
Tennessee MEDICAID 30014911
Tennessee MEDICAID 3001492
Tennessee MEDICAID 3001497

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