Individual
MRS. ALICE SMITH WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
910 WORTH ST, MOUNT AIRY, NC 27030-4458
(336) 786-5108
Mailing address
PO BOX 602658, CHARLOTTE, NC 28260-2658
(336) 716-2011
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-04317
NC
Other
Enumeration date
07/02/2013
Last updated
02/23/2015
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