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Individual

DR. JUDY W WOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
600 MOYE BLVD, PEDIATRIC OUTPATIENT CENTER, GREENVILLE, NC 27834-4300
(252) 744-2335
(252) 744-3811
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
(252) 744-3253
(252) 744-3194

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
200401452
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
136PA
BCBS NC
NC
05
5900286
NC
Enumeration date
11/28/2005
Last updated
04/07/2010
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