Individual
DR. CHARLENE R. WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
215 SUMMER TERRACE LN, ATLANTA, GA 30342-2662
(520) 404-8836
Mailing address
220 COBB PKWY N, 400, MARIETTA, GA 30062-3581
(770) 424-7125
(770) 424-7127
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
66879
GA
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
66879
GA
2083X0100X
Occupational Medicine Physician
66879
GA
208D00000X
General Practice Physician
66879
GA
Other
Enumeration date
08/05/2011
Last updated
09/11/2014
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