| Doctor Name: | GEORGE R WOODBURY |
| NPI Number: | 1114097938 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | MD3499 |
| Business Practice Address: | 1200 Highway 201 N Mountain Home, AR - 726532440 |
| Business Phone Number: | 8704250672 |
| Business Fax Number: | 8704250796 |
| Mailing Address: | Po Box 1716, MOUNTAIN HOME |
| State: | AR |
| Postal Code: | 726541716 |
| Phone Number: | 9016825606 |
| Fax Number: | 9016827853 |
| NPI Enumeration Date: | 11/09/2006 |
| NPI Last Update Date: | 05/23/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | MD3499 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |