Woodbury, Wayne M

Woodbury, Wayne M is an individual health care provider with primary practice located at 435 Cherokee Mountain Rd , Jonesborough TN 37659-6637. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Woodbury, Wayne M can be contacted via phone (912) 596-2341.

Contact Information

Primary practice address
435 Cherokee Mountain Rd Jonesborough TN 37659-6637
Phone: (912) 596-2341
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 042978 Georgia
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 8397828-1205 Utah
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 24642 Tennessee

Profile Details

NPI number 1770572893
LBN Legal business name Woodbury, Wayne M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2005
Last updated Oct 2nd, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770572893 NPPES
Georgia Other 552387 WELLCARE MEDICAID & MEDICARE
Georgia MEDICAID G42978 WELLCARE MEDICAID & MEDICARE
Georgia MEDICAID Q010272 WELLCARE MEDICAID & MEDICARE
Georgia MEDICAID 000729385C WELLCARE MEDICAID & MEDICARE
Georgia Other 01352928 WELLCARE MEDICAID & MEDICARE
Georgia MEDICAID 000729385A WELLCARE MEDICAID & MEDICARE
Georgia MEDICAID 000729385D WELLCARE MEDICAID & MEDICARE
Georgia Other P00795760 WELLCARE MEDICAID & MEDICARE

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