Wood, David Lee

Wood, David Lee is an individual health care provider with primary practice located at 325 N State Of Franklin Rd , Johnson City TN 37604-6056. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Wood, David Lee can be contacted via phone (423) 439-7320.

Contact Information

Primary practice address
325 N State Of Franklin Rd Johnson City TN 37604-6056
Phone: (423) 439-7320
Fax: (423) 439-7343
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X ME74080 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 51881 Tennessee

Profile Details

NPI number 1912976150
LBN Legal business name Wood, David Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Oct 7th, 2014 - about 10 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 1912976150 NPPES
Georgia MEDICAID 000959109B
Georgia MEDICAID 2648512-00
Georgia Other 3714470
Georgia Other 370021674

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