Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STEVIE THOMAS WOODARD, CEO/DIRECTOR
Active Sole ProprietorSTEVIE THOMAS WOODARD, CEO/DIRECTOR is a Podiatric Surgery healthcare provider located in ANTIOCH, Tennessee. NPI 1073116661 is currently active in the NPPES registry. Verify at CMS.
Podiatric Surgery · ANTIOCH, TN
Registration Details
- NPI Number
- 1073116661
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 17, 2020 (5.7660996187558 yrs)
- Last Updated
- Nov 17, 2020
- License
-
1000000027096 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2585 KANLOW DRANTIOCH, TN, 370133951Browse TN providers · Browse ZIP 37013
- Phone
- 6156353228
- Fax
- 6155232104
- Primary Specialty
-
Podiatric Surgery
3747A0650X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.