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Individual

JOSEPH WOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
509 PARKMAN AVE, SELMA, AL 36701-5734
(334) 874-9064
(334) 874-2633
Mailing address
509 PARKMAN AVE, SELMA, AL 36701-5734
(334) 874-9064
(334) 874-2633

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN-1-114276
AL

Other

Enumeration date
06/30/2015
Last updated
06/30/2015
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