Organization
W T WOOD OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM TERRY WOOD O.D. (PRESIDENT)
(662) 489-5907
Entity
Organization
Contact information
Practice address
26 S MAIN ST, PONTOTOC, MS 38863-2811
(662) 489-5907
(662) 489-6928
Mailing address
26 S MAIN ST, PONTOTOC, MS 38863-2811
(662) 489-5907
(662) 489-6928
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
MS495
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00087916
—
MS
Enumeration date
03/19/2008
Last updated
03/05/2019
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