| Woodbury Medical Clinic | |
|
205 S Mccrary St Woodbury TN 37190-1439 | |
| (615) 563-2891 | |
| (615) 563-4582 |
| Full Name | Woodbury Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 205 S Mccrary St, Woodbury, Tennessee |
| Authorized Official Name and Position | Keith Young (MANAGING PARTNER) |
| Authorized Official Contact | 6155632891 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodbury Medical Clinic 205 S Mccrary St Woodbury TN 37190-1439 Ph: (615) 563-2891 | Woodbury Medical Clinic 205 S Mccrary St Woodbury TN 37190-1439 Ph: (615) 563-2891 |
| NPI Number | 1386667244 |
|---|---|
| Provider Enumeration Date | 07/25/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5890778575 |
|---|---|
| Medicare Enrollment ID | O20040611001490 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386667244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD34850 (Tennessee) | Primary |
| Provider Name | Jeffrey L Todd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700823713 PECOS PAC ID: 3173507191 Enrollment ID: I20040616001557 |
| Provider Name | Paula M Todd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144273061 PECOS PAC ID: 0749194827 Enrollment ID: I20060425000095 |
| Provider Name | Jennifer Cameron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790256733 PECOS PAC ID: 0446599047 Enrollment ID: I20190226001497 |
| Provider Name | Brooke Marie Bowman Slaughter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912432139 PECOS PAC ID: 2163849795 Enrollment ID: I20200827003416 |
| Provider Name | Rachel Elizabeth Caldwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780467894 PECOS PAC ID: 7416303649 Enrollment ID: I20231025000220 |
| Provider Name | Monika Ewelina Safarpour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720858053 PECOS PAC ID: 3971946492 Enrollment ID: I20240212001696 |
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