Provider Demographics
NPI:1245435825
Name:WOOD, JULIA K (MD)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:K
Last Name:WOOD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:310 N FOREST PARK BLVD STE 202
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-5130
Mailing Address - Country:US
Mailing Address - Phone:865-539-2221
Mailing Address - Fax:865-273-1755
Practice Address - Street 1:7610 GLEASON DR STE 302
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-6844
Practice Address - Country:US
Practice Address - Phone:865-539-2221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-15
Last Update Date:2023-01-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN487112084P0800X, 2084P0800X
MA2394722084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ013639Medicaid
TN103I261023Medicare PIN