Jerry L. Woolum, M.d., P.s.c.

NPI #1265445845 in Pineville, Kentucky

Provider Information

NPI Number: 1265445845
Entity Type: Organization
Organization Name: Jerry L. Woolum, M.d., P.s.c.
Primary Specialty: Surgery
Enumeration Date: Aug 14, 2006
Last Updated: Oct 14, 2014

Practice Location

Address: 121 VIRGINIA AVENUE
Address 2: SUITE F200
City: Pineville
State: Kentucky
ZIP Code: 40977
Phone: (606) 337-0860

Authorized Official

Name: MR. JERRY L WOOLUM, MD
Title: MD
Phone: (606) 337-0860

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Surgery	208600000X	Primary

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