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Individual

MARIA D WOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.C.

Contact information

Practice address
927 FRANKLIN ST SE, HUNTSVILLE, AL 35801-4306
(256) 539-2728
Mailing address
927 FRANKLIN ST SE, HUNTSVILLE, AL 35801-4306
(256) 539-2728

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085004321
AL
363A00000X
Physician Assistant
085004321
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
208887020
LOCALITY 15 MCR
01
370830025
LOCALITY 99
Enumeration date
05/03/2012
Last updated
06/26/2024
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