Individual
HENRY G. WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
310 W 10TH ST NE, ROME, GA 30165-2639
(706) 232-1503
(706) 235-3684
Mailing address
420 E 2ND AVE, SUITE 103, ROME, GA 30161-3224
(706) 509-3278
(706) 509-4608
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001241
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00171311L
—
GA
Enumeration date
08/03/2006
Last updated
01/12/2011
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