Provider Demographics
NPI:1932305430
Name:DR STEVEN WOODS CHIROPRACTOR PC
Entity Type:Organization
Organization Name:DR STEVEN WOODS CHIROPRACTOR PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:WOODS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:423-870-3434
Mailing Address - Street 1:5228 HIXSON PIKE
Mailing Address - Street 2:SUITE A
Mailing Address - City:HIXSON
Mailing Address - State:TN
Mailing Address - Zip Code:37343
Mailing Address - Country:US
Mailing Address - Phone:423-870-3434
Mailing Address - Fax:423-870-8355
Practice Address - Street 1:5228 HIXSON PIKE
Practice Address - Street 2:SUITE A
Practice Address - City:HIXSON
Practice Address - State:TN
Practice Address - Zip Code:37343
Practice Address - Country:US
Practice Address - Phone:423-870-3434
Practice Address - Fax:423-870-8355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDC1908111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4069711OtherBLUE CROSS BS
1972718195Medicare UPIN
TN4069711OtherBLUE CROSS BS