Individual
BRAD WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
619 S 8TH ST STE 200, GRIFFIN, GA 30224-4260
(770) 227-1587
(770) 227-1485
Mailing address
65 ASHTON CT, COVINGTON, GA 30016-8020
(678) 770-2158
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN215283
GA
Other
Enumeration date
04/12/2018
Last updated
04/12/2018
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