Individual
DR. JEREMY DON WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
310 JACKSON ST, VIDALIA, GA 30474-4708
(912) 537-3377
(912) 538-7010
Mailing address
310 JACKSON ST, VIDALIA, GA 30474-4708
(912) 537-3377
(912) 538-7010
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN013906
GA
Other
Enumeration date
04/15/2015
Last updated
04/15/2015
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