Individual
TERRY W. WOOD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1340 BOULEVARD SE, ATLANTA, GA 30315-3016
(404) 627-4259
Mailing address
1340 BOULEVARD SE, ATLANTA, GA 30315-3016
(404) 627-4259
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036636
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52409180
BLUE CROSS BLUE SHIELD
GA
Enumeration date
04/26/2006
Last updated
07/08/2007
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