Individual
DR. ROBERT M. WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1315 JESSE JEWELL PKWY NE, SUITE 300, GAINESVILLE, GA 30501-3822
(770) 848-6190
(770) 848-5367
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 848-6190
(770) 848-5367
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
077005
GA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
077005
GA
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
077005
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0100749
—
MA
01
—
155060
TUFTS
MA
01
—
J22274
BCBS
MA
Enumeration date
01/05/2006
Last updated
10/24/2016
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