Individual
GLORIA JAMIELLEN WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2061 EXPERIMENT STATION RD STE 505, WATKINSVILLE, GA 30677-5327
(706) 310-0320
Mailing address
2061 EXPERIMENT STATION RD STE 505, WATKINSVILLE, GA 30677-5327
(706) 310-0320
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11681
GA
Other
Enumeration date
07/06/2023
Last updated
09/25/2024
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