Individual
MR. JIMMY HARALSON WOOD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2319 PRINCE AVE, ATHENS, GA 30606-6030
(706) 548-7300
Mailing address
PO BOX 8467, JACKSON, WY 83002-8467
(307) 733-5577
(307) 733-5505
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT007333
GA
Other
Enumeration date
10/03/2006
Last updated
03/07/2017
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