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Individual
MR. JEREMY JAKOB WOOD
Active
Individual
MR. JEREMY JAKOB WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
0101240205
VA
207W00000X
Ophthalmology Physician
Primary
25642
LA
207W00000X
Ophthalmology Physician
D0097046
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101240205
STATE LICENSE
VA
05
—
1045926
—
LA
01
—
25642
STATE MEDICAL LICENSE
LA
01
—
33584
CDS
LA
Enumeration date
05/10/2006
Last updated
06/08/2023
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