Individual
DR. WILLIAM TERRY WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
26 SOUTH MAIN STREET, PONTOTOC, MS 38863-2811
(662) 489-5907
(662) 489-6928
Mailing address
26 S MAIN ST, PONTOTOC, MS 38863-2822
(662) 489-5907
(662) 489-6928
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MS495
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00087916
—
MS
01
—
0652140001
CIGNA GOVERNMENT
MS
Enumeration date
04/07/2007
Last updated
04/28/2014
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