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Individual

MRS. DARIA WOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
252 TURNBERRY CIR, CLARKSVILLE, TN 37043-6336
(000) 000-1111
Mailing address
252 TURNBERRY CIR, CLARKSVILLE, TN 37043-6336

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
5356
TN
363AM0700X
Medical Physician Assistant
PA06803
TX
363AM0700X
Medical Physician Assistant
Primary
PA66535
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3070153-01
TX
Enumeration date
11/04/2010
Last updated
09/25/2025
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