Individual
WESLEY WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
200 CORPORATE BLVD, STE 201, LAFAYETTE, LA 70508-3870
(800) 893-9698
Mailing address
830 S GLOSTER ST, TUPELO, MS 38801-4934
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
17892
MS
Other
Enumeration date
07/23/2007
Last updated
12/04/2019
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