1952628380

Everything you always wanted to know about WOODS J ROY but were afraid to ask.

WOODS J ROY

You can also download the this 1952628380 data report as csv | excel | json | xml
Provider Last Name Provider Middle Name Provider First Name
WOODS J ROY
Gender:
Male
Enumeration date:
2010-04-25
Last update date:
2010-04-25
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No
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Identifiers

identifier description issuer state

Taxonomies

Taxonomy State License Number Primary?
101YP2500X Professional TN 02556 Y

Phone Numbers

Type Number
Mailing Address Telephone Number 6159734108
Practice Location Address Telephone Number 6159734108

Addresses

Type Address City State Postal Country
Mailing Address 180 SOPHIE DR ANTIOCH TN 37013 TN
Practice Location Address 180 SOPHIE DR ANTIOCH TN 37013 TN