# EARL C WOOD MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447380084
- **Authorized official:** EARL C WOOD MD (OWNER)
- **Authorized official phone:** (606) 780-1292

## Contact information

- **Practice address:** 220 STONE ST, MOREHEAD, KY 40351-1747
- **Practice address phone:** (606) 780-1292
- **Mailing address:** 220 STONE ST, MOREHEAD, KY 40351
- **Mailing address phone:** (606) 780-1292

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 23434 | KY | Yes |

## Other

- **Enumeration date:** 03/06/2007
- **Last updated:** 05/23/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000211732 | ANTHEM BCBS | KY |
| 05 | — | 64234347 | — | KY |