NPI 1073116661

Stevie Thomas Woodard, CEODIRECTOR

Practitioner Attendant Care Provider Antioch, TN

Practice location

Address: 2585 Kanlow Dr, Antioch, TN 37013-3951
Phone: (615) 635-3228
Fax: (615) 523-2104
Mailing address: PO Box 1008, Antioch, TN 37011-1008

Registered specialties

Attendant Care Provider Primary

Nursing Service Related Providers Taxonomy 3747A0650X Licence 1000000027096 (TN)

Other Technician providers in Tennessee →

Registry record

NPI: 1073116661
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Nov 2020
Record last updated: 17 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.